CHINHOYI UNIVERSITY OF TECHNOLOGY & African Institute of ...

[Pages:3]CHINHOYI UNIVERSITY OF TECHNOLOGY & African Institute of Biomedical Science and Technology

Postgraduate Reference Form

Please return to

MASTER OF SCIENCE IN

Alice Mutambiranwa AiBST

PHARMACEUTICAL MEDICINE

Programme Coordinator

Tel: +263 772 942 044, +263 733 584 479

Email: aibst.postgraduateprogram@

Student to check with Referee that completed reference form has been submitted!

Section 1. To be completed by the Applicant

Full name of applicant

Postgraduate Taught Courses: Master s Degree

Postgraduate Diploma

Postgraduate Certificate

Title of Course: Master degree in Genomics and Precision Medicine

Mode of study: Full-time

Part-time

Distance/Open Learning (where available)

Section 2: To be completed by the Referee based on either knowledge of the applicant and evaluation of the application documents submitted by the student.

Notes to Referee: Your honest and forthright assessment of the above named applicant is a necessary part of the application process to postgraduate programmes at Chinhoyi University of Technology (CUT) and the African Institute of Biomedical Science and Technology (AiBST).

We realise providing a reference requires time and effort and we greatly appreciate your assistance. Please print or type your response, and when complete, please return it to the address stated at the top of this form. If you have any questions, please contact the Admissions Office on aibst.postgraduateprogram@ or telephone 067 2122204 ext 1111

How long and under what circumstances have you known the applicant? What do you consider to be the applicants strengths? Indicate top three

Months

Years

A

B

C

CHINHOYI UNIVERSITY OF TECHNOLOGY & African Institute of Biomedical Science and Technology

Postgraduate Reference Form

What do you consider to be the applicants weaknesses? Indicate top three

A

B

C

Using the chart below, please rate the applicant relative to other students or employees whom you have known in a similar capacity. Please indicate the group with whom you are comparing the applicant(e.g. Student co-workers, e.t.c):

Please comment on your rankings indicated above, making any additional statements concerning the applicants academic development to date and present performance; expected examination results/qualifications (if appropriate); interpersonal skills; and if the applicant is from overseas, indicate your understanding of their ability to study at postgraduate level in English. (Maximum one page).

CHINHOYI UNIVERSITY OF TECHNOLOGY & African Institute of Biomedical Science and Technology

Postgraduate Reference Form

Comment

Referees Name Position/Title: Organisation: Address: City/Town: Email

Fax No

Referees Signature Date:

Country Telephone No:

Postal Code

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