{"id":3384,"date":"2021-07-19T16:45:48","date_gmt":"2021-07-19T13:45:48","guid":{"rendered":"https:\/\/www.msongolainstitute.ac.tz\/?page_id=3384"},"modified":"2021-07-19T17:02:26","modified_gmt":"2021-07-19T14:02:26","slug":"application-form","status":"publish","type":"page","link":"https:\/\/www.msongolainstitute.ac.tz\/?page_id=3384","title":{"rendered":"Application Form"},"content":{"rendered":"<div id=\"editor-9cfd3fde-ae86-4041-9bc0-7a049e0d7fef\" class=\"wp-block-freeform block-library-rich-text__tinymce html5-captions\">\n<div id=\"erf_form_container_3378\" class=\"erf-container erf-contact erf-label-top erf-layout-one-column erf-style-rounded-corner\">\n        \n    \n         \n                    <div class=\"erf-content-above\">\n                Contact us by filling out the form below.            <\/div>\n            <form method=\"post\" enctype=\"multipart\/form-data\" class=\"erf-form erf-front-form\" data-parsley-validate=\"\" novalidate=\"true\" data-erf-submission-id=\"0\" data-erf-form-id=\"3378\">\n                <div class=\"erf-form-html\" id=\"erf_form_3378\">\n                    <div class=\"rendered-form\">\n                        <div class=\"erf-text form-group field-text-277246869783 erf-element-width-12\"><label for=\"text-277246869783\" class=\"erf-text-label\">JINA KAMILI\/FULL NAME<span class=\"erf-required\">*<\/span><\/label><input type='text' maxlength='50' required='required' placeholder='JOHN JOSEPH LAMECK' class='form-control' name='text-277246869783' data-ref-label='JINA' id='text-277246869783'  \/><\/div><div class=\"erf-radio-group form-group field-field-iOdLDSzglSd9j11 erf-element-width-12\"><label for=\"field-iOdLDSzglSd9j11\" class=\"erf-radio-group-label\">JINSIA (SEX)- M\/F<\/label><div class=\"radio-group\"><div class=\"radio\"><input id=\"field-iOdLDSzglSd9j11-0\" name='field-iOdLDSzglSd9j11' data-ref-label='JINSIA' class='form-control'  type=\"radio\" checked value=\"MALE\" \/><label for=\"field-iOdLDSzglSd9j11-0\">ME\/MALE<\/label><\/div><div class=\"radio\"><input id=\"field-iOdLDSzglSd9j11-1\" name='field-iOdLDSzglSd9j11' data-ref-label='JINSIA' class='form-control'  type=\"radio\" value=\"FEMALE\" \/><label for=\"field-iOdLDSzglSd9j11-1\">KE\/FEMALE<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-O0w04IHZitzldcA erf-element-width-12\"><label for=\"field-O0w04IHZitzldcA\" class=\"erf-text-label\">TAREHE YA KUZALIWA\/DATE OF BIRTH<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Date1' placeholder='28\/12\/1995' min='01\/01\/1970' max='01\/01\/2010' data-date-format='dd\/mm\/yy' class='form-control erf-date-field' name='field-O0w04IHZitzldcA' required='required' id='field-O0w04IHZitzldcA'  \/><\/div><div class=\"erf-text form-group field-text-166661134709 erf-element-width-12\"><label for=\"text-166661134709\" class=\"erf-text-label\">JINA LA MZAZI\/MLEZI\/ NAME OF PARENT\/GUARDIAN<\/label><input type='text' maxlength='50' class='form-control' name='text-166661134709' data-ref-label='MZAZI' id='text-166661134709'  \/><\/div><div class=\"erf-tel form-group field-field-PcAMNBXM0jeqS8g erf-element-width-12\"><label for=\"field-PcAMNBXM0jeqS8g\" class=\"erf-tel-label\">SIMU YA MZAZI\/MLEZI \/PHONE NUMBER OF PARENT\/GUARDIAN<\/label><input type='tel' data-ref-label='Phone2' class='form-control' name='field-PcAMNBXM0jeqS8g' enable-intl='1' id='field-PcAMNBXM0jeqS8g'  \/><\/div><div class=\"erf-tel form-group field-field-fxvw9bo7VHvYART erf-element-width-12\"><label for=\"field-fxvw9bo7VHvYART\" class=\"erf-tel-label\">SIMU YA MWANAFUNZI \/ PHONE NUMBER OF STUDENT<\/label><input type='tel' data-ref-label='Phone1' class='form-control' name='field-fxvw9bo7VHvYART' enable-intl='1' id='field-fxvw9bo7VHvYART'  \/><\/div><div class=\"erf-email form-group field-field-PXn5Wi4OlryIWvS erf-element-width-12\"><label for=\"field-PXn5Wi4OlryIWvS\" class=\"erf-email-label\">BARUA PEPE\/EMAIL ADDRESS OF STUDENT<\/label><input type='email' data-ref-label='Email1' class='form-control' name='field-PXn5Wi4OlryIWvS' placeholder='lamec@lemcc.com' id='field-PXn5Wi4OlryIWvS'  \/><\/div><div class=\"erf-text form-group field-field-hpwMKerB2gT8PR7 erf-element-width-12\"><label for=\"field-hpwMKerB2gT8PR7\" class=\"erf-text-label\">MKOA UNAOISHI\/ REGION OF RESIDENCY<\/label><input type='text' data-ref-label='Text_Field3' class='form-control' name='field-hpwMKerB2gT8PR7' id='field-hpwMKerB2gT8PR7'  \/><\/div><div class=\"erf-text form-group field-field-xYQO3eTpBic0DUs erf-element-width-12\"><label for=\"field-xYQO3eTpBic0DUs\" class=\"erf-text-label\">WILAYA UNAYOISHI\/ DISTRICT OF RESIDENCY<\/label><input type='text' data-ref-label='Text_Field4' class='form-control' name='field-xYQO3eTpBic0DUs' id='field-xYQO3eTpBic0DUs'  \/><\/div><div class=\"erf-text form-group field-field-X6aqK6UFfeOeJrx erf-element-width-12\"><label for=\"field-X6aqK6UFfeOeJrx\" class=\"erf-text-label\">SHULE ULIYOHITIMU KIDATO CHA NNE\/NAME OF SECONDARY SCHOOL FOR ORDINARY LEVEL<\/label><input type='text' data-ref-label='Text_Field5' class='form-control' name='field-X6aqK6UFfeOeJrx' id='field-X6aqK6UFfeOeJrx'  \/><\/div><div class=\"erf-text form-group field-field-eN6yxQepQ60zNOA erf-element-width-12\"><label for=\"field-eN6yxQepQ60zNOA\" class=\"erf-text-label\">NAMBA YA MTIHANI WA KIDATO CHA NNE\/FORM FOUR EXAMINATION NUMBER<\/label><input type='text' data-ref-label='Text_Field6' class='form-control' name='field-eN6yxQepQ60zNOA' placeholder='S.1600.0055' id='field-eN6yxQepQ60zNOA'  \/><\/div><div class=\"erf-number form-group field-field-4XvGxNpqGx6j4yQ erf-element-width-12\"><label for=\"field-4XvGxNpqGx6j4yQ\" class=\"erf-number-label\">MWAKA ULIOMALIZA KIDATO CHA NNE\/ YEAR YOU COMPLETED FORM FOUR<\/label><input type='number' data-ref-label='Number2' class='form-control' name='field-4XvGxNpqGx6j4yQ' placeholder='2013' id='field-4XvGxNpqGx6j4yQ'  \/><\/div><div class=\"erf-text form-group field-field-4lqpJHBFASrX4G6 erf-element-width-12\"><label for=\"field-4lqpJHBFASrX4G6\" class=\"erf-text-label\">SHULE ULIYOHITIMU KIDATO CHA SITA\/NAME OF HIGH SCHOOL<\/label><input type='text' data-ref-label='Text_Field8' class='form-control' name='field-4lqpJHBFASrX4G6' id='field-4lqpJHBFASrX4G6'  \/><\/div><div class=\"erf-text form-group field-field-QGV8mzbM2BXSIPj erf-element-width-12\"><label for=\"field-QGV8mzbM2BXSIPj\" class=\"erf-text-label\">NAMBA YA MTIHANI WA KIDATO CHA SITA\/ HIGH SCHOOL EXAMINATION NUMBER<\/label><input type='text' data-ref-label='Text_Field9' class='form-control' name='field-QGV8mzbM2BXSIPj' id='field-QGV8mzbM2BXSIPj'  \/><\/div><div class=\"erf-number form-group field-field-ctgqR7vrJVvajke erf-element-width-12\"><label for=\"field-ctgqR7vrJVvajke\" class=\"erf-number-label\">MWAKA ULIOMALIZA KIDATO CHA SITA\/ YEAR YOU COMPLETED FORM SIX<\/label><input type='number' data-ref-label='Number1' class='form-control' name='field-ctgqR7vrJVvajke' placeholder='2014' id='field-ctgqR7vrJVvajke'  \/><\/div><div class=\"erf-text form-group field-field-JrWRjpyMHQ71OwB erf-element-width-12\"><label for=\"field-JrWRjpyMHQ71OwB\" class=\"erf-text-label\">SHULE YA MSINGI ULIYOMALIZA\/NAME OF PRIMARY SCHOOL YOU COMPLETED<\/label><input type='text' data-ref-label='Text_Field11' class='form-control' name='field-JrWRjpyMHQ71OwB' id='field-JrWRjpyMHQ71OwB'  \/><\/div><div class=\"erf-text form-group field-field-uhVwI2e17kxvUP3 erf-element-width-12\"><label for=\"field-uhVwI2e17kxvUP3\" class=\"erf-text-label\">AINA YA KOZI ULIYOCHAGUA\/THE COURSE YOU PREFER<\/label><input type='text' data-ref-label='Text_Field12' class='form-control' name='field-uhVwI2e17kxvUP3' id='field-uhVwI2e17kxvUP3'  \/><\/div><div class=\"erf-text form-group field-field-toQvpgrWzWDpgAp erf-element-width-12\"><label for=\"field-toQvpgrWzWDpgAp\" class=\"erf-text-label\">KWA MHITIMU WA CHETI CHA ACO: MWAKA ULIOHITIMU NA NAMBA YA CHETI CHA NACTE<\/label><input type='text' 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