WATER INSTITUTE [ WI ] P.O.Box 35059, LandLine / Mobile : 255222410040 , Email : rector@waterinstitute.ac.tz , Website : http://waterinstitute.ac.tz APPLICATION FORM Person Particulars First Name : Willy Tanzania, United Republic of Mwamakula Country of Residence : Last Name : Other Name : A Disability : None Sex : M Application Year : 2021/2022 Birth Date : 30-11-1994 Round : Round I Place of Birth : KYELA, MBEYA Application Type : Bachelor Marital Status : Single Entry Category : Diploma Nationality : Tanzanian Contact Information Mobile 1: 255784403134 Postal Address : Box 72, NGONGA KYELA Mobile 2 : 255629812021 Physcal Address : KYELA,MBEYA Email : jothamwilliam9@gmail.com Parents / Guardians / Next of Kin Information Next of Kin 1 Next of Kin 2 Name: Anna G.Mwangamilo Name: Clea G.Mwangamilo Mobile 1 : 255 787 204 906 Mobile 1 : 255 718 006 430 Mobile 2 : 255 652 205 659 Mobile 2 : 255 756 270 172 Email : jothamwilliam9@gmail.com Email : willmwangamilo@gmail.com Postal : BOX 72NGONGAKYELAMBY Postal : BOX 72NGONGAKYELAMBY Relation : Aunt Relation : Mother Application Fee Payment Your Reference Number for payment is : Please Wait..... S/No Invoice No Control No Receipt Amount Total Trans Time 0.00 Education Background O-Level Certificate Examination Authority : NECTA Center Name : IGAWILO SECONDARY SCHOOL Index Number : S0457/0162/2012 Programme Title : Programme Title : G.P.A/Grade : II Country : Tanzania, United Republic of Completed Year: 2012 SUBJECT LIST S/No. 1 CODE 041 WATER INSTITUTE [ WI ] Printed on :19 / 08 / 2021 , 04:20:51 SUBJECT BASIC MATHEMATICS Page 1/3 GRADE B SIMSV2 WATER INSTITUTE [ WI ] P.O.Box 35059, LandLine / Mobile : 255222410040 , Email : rector@waterinstitute.ac.tz , Website : http://waterinstitute.ac.tz S/No. 2 3 4 5 6 7 8 9 10 CODE 034 033 032 031 022 021 013 012 011 SUBJECT AGRICULTURAL SCIENCE BIOLOGY CHEMISTRY PHYSICS ENGLISH LANGUAGE KISWAHILI GEOGRAPHY HISTORY CIVICS GRADE D C C D C C D C D Diploma Certificate Examination Authority : NACTE Center Name : Ministry of Agriculture Training Institute Igurusi - Mbeya Index Number : NS0457/0162/2012 Programme Title : Ordinary Diploma in Irrigation Programme Title : Ordinary Diploma in Irrigation G.P.A/Grade : 3.9 AVN : 21NA1169215ME Country : Tanzania, United Republic of Completed Year: 2020 SUBJECT LIST S/No. 1 2 3 CODE IRT06212 IRT06210 IRT06209 4 IRT06201 5 6 7 8 9 10 IRT06111 IRT06107 IRT06103 IRT06102 GST06208 GST06206 11 GST06204 12 13 GST06105 FP SUBJECT FARM MACHINERY MANAGEMENT TRACTOR POWER AND OTHER SOURCES OF POWER SOIL AND WATER CONSERVATION DESIGN AND CONSTRUCTION OF HYDRAULIC STRUCTURES ANIMAL POWER IRRIGATION RESOURCE MANAGEMENT TECHNICAL DRAWING LAND AND SOIL SURVEY AND CLASSIFICATION IRRIGATION TECHNOLOGY DISSEMINATION MANAGEMENT OF IRRIGATORS ORGANIZATION PRINCIPLES AND APPLICATION OF CROP EXPERIMENTATION GROUP FORMATION AND MANAGEMENT FIELD PRACTICAL GRADE A A B+ C A B+ A B+ B A B+ B+ B Programme Choices First Choice : Bachelor of Water Resources and Irrigation Engineering Second Choice : Bachelor of Water Resources and Irrigation Engineering Third Choice : Bachelor of Water Resources and Irrigation Engineering Fourth Choice : Bachelor of Water Resources and Irrigation Engineering Declaration WATER INSTITUTE [ WI ] Printed on :19 / 08 / 2021 , 04:20:51 Page 2/3 SIMSV2 WATER INSTITUTE [ WI ] P.O.Box 35059, LandLine / Mobile : 255222410040 , Email : rector@waterinstitute.ac.tz , Website : http://waterinstitute.ac.tz I, Willy A Mwamakula hereby declare that the information given in this form is true to the best of my knowledge WATER INSTITUTE [ WI ] Printed on :19 / 08 / 2021 , 04:20:51 Page 3/3 SIMSV2