Study Level

Admission Type

Campus

Field of study

Academic Year

Semester

Personal Information

ሙሉ ስም ከነአያት/በአማርኛ

First Name

Father Name

Grandfather Name

Date of birth

Place of birth

Marital Status

Nationality

Gender

Mother FullName

Where you come from

Area Type

Do you have physical or any other disability ? Yes No

Present Address

Country

Region

Zone/Subcity

Woreda

House Number

Mobile Phone

Person to be contact in case of emergency

Name

Relationship

Phone Number

Occupation

Address of employer

Profile and Education Document

Profile Picture

Combined All Your Application Files and attach

Education Certificates
Work Experience and sponsorship letter(If any)

Note: Please combine all the above document in one PDF file and attache here

Your Previous Field of Study before Planning to join our Institution

Senior Secondary/Preparatory school attended

No.	School Name	National Exam Taken	Grade 12 Result	Grade 10 Result	City/Town	Year From	Year To
1

College/University

No.	Higher Educaiton Name	Field of study	Diploma Awared	Year graduation	CGPA at Graduation	City	First Degree	Second Degree
1

COC

No.	Level	Field of study	COC Date	COC Result
1

Equivalent Diploma

No.	Field of study	Attachment
1

Financial Support

Year of experience

Have you had any research experience ? Yes No

Have your research output been published ? Yes No

Have you received any commendation or awards in recognition of your merits ? Yes No

I hereby certifiy that all information given in this form is complete and correct. And I have read and agree to the

SIS

Online Admission.

Personal Information

Present Address

Person to be contact in case of emergency

Profile and Education Document

Your Previous Field of Study before Planning to join our Institution