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    Muni University Form3

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    washington.opiyo
    This document is an application form for appointment or promotion within Muni University. It requests personal information like name, date of birth, education history, employment record, publications, research grants, awards, intellectual properties, and university/international services from the applicant. The form also includes space for recommendation from the applicant's dean or head of department. If approved, this form would help evaluate the applicant for the referenced position at Muni University.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Muni University Form3

    Uploaded by

    washington.opiyo
    6 views6 pages
    This document is an application form for appointment or promotion within Muni University. It requests personal information like name, date of birth, education history, employment record, publications, research grants, awards, intellectual properties, and university/international services from the applicant. The form also includes space for recommendation from the applicant's dean or head of department. If approved, this form would help evaluate the applicant for the referenced position at Muni University.

    Original Title

    Muni University Form3 (1)

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    This document is an application form for appointment or promotion within Muni University. It requests personal information like name, date of birth, education history, employment record, publications, research grants, awards, intellectual properties, and university/international services from the applicant. The form also includes space for recommendation from the applicant's dean or head of department. If approved, this form would help evaluate the applicant for the referenced position at Muni University.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views6 pages

    Muni University Form3

    Uploaded by

    washington.opiyo
    This document is an application form for appointment or promotion within Muni University. It requests personal information like name, date of birth, education history, employment record, publications, research grants, awards, intellectual properties, and university/international services from the applicant. The form also includes space for recommendation from the applicant's dean or head of department. If approved, this form would help evaluate the applicant for the referenced position at Muni University.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    MUNI UNIVERSITY Affix your recent

    coloured
    photographer
    here

    MUNI UNIVERSITY FORM 3 (MU 3)


    APPLICATION FOR APPOINTMENT
    ON PROMOTION IN MUNI
    UNIVERSITY

    Post Applied for

    Reference Number

    March, 2021
    NOTE:
    (i) In the case of serving officers to be completed in triplicate (original in own) and
    submitted through their Heads of Departments.
    (ii) In the case of others, the form should be completed in triplicate (the original in
    own handwriting and submitted direct to the Appointments Board.

    A: PERSONAL INFORMATION

    Post Applied for

    Reference Number

    Full Name (Surname first in capital letters)

    Date of Birth

    Nationality

    Home District

    Sub-County

    Village

    Postal Address

    E-mail Address

    Telephone Number

    Are you a TEMPORARY or


    PERMANENT resident in Uganda?
    Marital Status Married/Single/Widowed/Divorced/Separated
    (Tick one)
    Number and Ages of Children (Attach NAME AGE
    additional sheet in case of more than four 1)
    (4) children). 2)
    3)
    4)

    B: INFORMATION ON CURRENT OCCUPATION

    Current Post

    Date of appointment to the current post

    Current Department

    2
    Current Salary Scale (if applicable)

    Current Salary

    Terms of Employment Permanent/ Temporary/Contract/Probation (Tick one)

    C: INSTITUTIONS/SCHOOLS ATTENDED

    S.No Year/Period School/Institution Award/Qualification


    From To

    D: EMPLOYMENT RECORD

    S.No Year/Period Position Held/Designation Name and Address


    of the Employer
    From To

    3
    E: GRADUATE STUDENT SUPERVISED TO COMPLETION

    S.No Name of the Title of Year of Name of the Awarding


    Student Dissertation/Thesis Completion Institution

    F: PUBLICATIONS (Journal articles, Books, Book Chapters, Technical Reports, and


    Case Report),

    S.No Title of the Article Year of Journal Name Volume,


    Publication Issue, Pages

    G: RESEARCH GRANTS WON

    S.No Year Research Topic Amount Funding Body


    (UDS)

    4
    H: EXCELLENCE AWARD

    S.No Year Award Amount Award Body


    (UDS)

    I: PATENTS AND OTHER INTELLECTUAL PROPERTIES

    S.No Year Intellectual Property

    J: SERVICES TO THE UNIVERSITY

    S.No Year/Period Committee Served Designation (Member or


    Chairperson)
    From To

    K: SERVICE TO THE INTERNATIONAL COMMUNITY

    S.No Year/Period Committee Served Designation (Member or


    Chairperson)
    From To

    5
    L: AUTHENTICATION

    I hereby certify that to the best of my knowledge and belief, the particulars given in this form are
    true and complete in all respect.

    Name………………………………………………………………………………….

    Signature……………………………………………………………………………..

    Date………………………………………………………………….

    M: COMMENTS AND RECOMMENDATION BY THE DEAN OR HEAD OF


    DEPARTMENT OR HEAD OF UNIT

    ………………………………………………………………………………………………………….

    ………………………………………………………………………………………………………….

    ………………………………………………………………………………………………………….

    …………………………………………………………………………………………………………..

    …………………………………………………………………………………………………………..

    ………………………………………………………………………………………………………….

    ………………………………………………………………………………………………………….

    ………………………………………………………………………………………………………..

    ………………………………………………………………………………………………………..

    …………………………………………………………………………………………………………

    Name…………………………………………………………………………………………………..

    Title/Designation……………………………………………………………………………………….

    Signature………………………………………………………………………………………………..

    Date…………………………………………………………………………………………

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