UNIVERSITY OF DAR ES SALAAM

Directorate of Postgraduate Studies

TRANSCRIPT REQUEST FORM
1. Personal Profile:
Surname:....................................................First Name:................................... Middle Names:............................................
(Names must be filled in as they appear in your academic certificates and transcripts)
Sex ……............................…. Date of Birth: ......................................................................................................................
Nationality: ...................................................................... Marital Status:............................................................................
Registration Number:.............................................................................................................................................................
Programme Pursued:..............................................................................................................................................................
Date and Year of Entry: ..................................................................Year of Graduation:......................................................
2. Title of Thesis/Dissertation/ Research Paper/Graduate Essay:
................................................................................................................................................................................................
................................................................................................................................................................................................
................................................................................................................................................................................................
3. Permanent Contacts:
Postal Address: …..........…….………………….….........................………................................................………..….…..
Mobile Number: ......................………......................….. Other Telephone Numbers: ...…................….…....……….…...
Email:………………..........…….………………….….........................………...........................................………..….…..
4. Name and Address of Next of Kin:
Full Names:................................................................................. Relationship: ...................................................................
Postal Address: …..........…….………………….….........................………................................................………..….…..
Mobile Number: ......................………......................….. Other Telephone Numbers: ...…................….…....……….…...
Email:………………..........…….………………….….........................………...........................................………..….…..
5. Compulsory Requirements:
a. Dully filled Clearance Form (Original)
b. One Black and White Passport Size Photograph (applicable to all PhD and Masters by thesis students as well
as other Postgraduate Students with registration No. before 2013)
c. Payment of Transcript Processing Charges (Original Receipt MUST be attached):
For Tanzanians: TShs. 15,000/- and TShs. 5,000/- for every additional copy
For Non-Tanzanians: USD. 20/- and USD. 5/- for every additional copy
d. Amount Paid: USD/TShs:..............................................Date paid: .................................................
Payments should be made by using CONTROL NUMBER which is obtained through ARIS Account.

6. Other Requirements:
a) Submit copy of provisional results for your postgraduate studies (optional)
b) Submit copy of academic transcript and certificate for undergraduate studies (optional)
c) Submit copy of Advanced Level Secondary Education Certificate/Diploma Certificate (optional)
d) Submit copy of Ordinary Level Secondary Education Certificate (optional)
e) Submit a copy of your identification card such as staff ID, Voter’s ID, Driving Licence or a Passport on collection
of your academic transcript (mandatory)
f) Allow a maximum of 5 working Days to process the transcript

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 NOTE: YOU WILL BE REQUIRED TO VERIFY THE GRADES/INFORMATION ON YOUR TRANSCRIPT
BEFORE ACCEPTING IT. ONCE TAKEN, NO TRANSCRIPT SHALL BE RETURNED FOR
CORRECTION WITHOUT ADDITIONAL CHARGES.

Date Submitted: ............................................... Signature: ...................................................

For Official Use Only

TRANSCRIPT PROCESSING CHECKLIST

1. File Retrieving Process:
Date file Found: .........................................................................
Remarks (if any): ..................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
Name of Officer: ........................................................... Signature: ......................................................

2. Transcript Printing Process:

Date Transcript Printed: ..............................................................
Remarks (if any): ..................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
Name of Officer: ........................................................... Signature: ......................................................

3. Sealed Stamping Process:

Date a transcript sent for stamp sealing: .........................................
Remarks (if any): ..................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
Name of Officer: ........................................................... Signature: ......................................................

4. Transcript Signing Process:

Date Signed: ............................................
Remarks (if any): ..................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................

Signature: ......................................................
Director, DPGS