DCRH 109 AE 02
MAURITIUS PORTS AUTHORITY
Please read Instructions to
candidates on Page 4 prior to
filling this form
1.
Application Form
For Official Use:
Application No :
Processed By:
Verified By:.
Post Applied for
Date of Advertisement/Vacancy
Circular
2.
..
National Identity Card No.
Title
Mr
Mrs
Marital Status
(M = Married, S= Single)
Miss
Surname
(in block letters)
Other Names
3.
Residential Address
(in block letters)
Home Telephone No.:
Office Telephone No Mobile No.
Date of Birth
Age:
Place of Birth.
Nationality Certificate No. (if Naturalized)
.. & Date..
QUALIFICATIONS
4.
PRIMARY LEVEL
Certificate of Primary Education Year
Subject/Grade: English
5.
French
Mathematics
SECONDARY ORDINARY LEVEL
State whether Cambridge S.C or Cambridge G.C.E
..
Month./Year
Subject
Grade
Geography/EVS
5.2
Oriental Language()
London General Certificate of Education
(Ordinary Level)
Month/Year
Subject
Grade
Result:.. Aggregate
SECONDARY ADVANCED LEVEL
State whether Cambridge H.S.C or Cambridge G.C.E
..
Month/Year
6.2
London General Certificate of Education
(Advanced Level)
Month/Year
Principal Subject
Grade
Advanced Level
Grade
Subsidiary Subject
Grade
Ordinary Level
Grade
General Paper
Result:..
7.
TECHNICAL AND VOCATIONAL QUALIFICATIONS: (e.g Typing and shorthand, B.A.P, Technician Certificates,
etc)
Name of University/Examining Body.Country..
Specify exact qualifications obtained.Class/Division/Level
Duration of course/study: FromTo..
Subjects
..
..
..
..
..
..
8.
DIPLOMA QUALIFICATIONS (Below Degree Level)
Name of University/Examining Body..Country..
Specify exact qualifications obtained..
Duration of course/study: From.To..
9.
DEGREE/PROFESSIONAL QUALIFICATIONS
Name of University/Examining Body.. Country:..
Specify exact qualifications obtained...
Duration of course/study: From.....To...
10.
POST DEGREE QUALIFICATIONS
Name of University/Examining Body.... Country:..
Specify exact qualifications obtained...
Duration of course/study: From....To
11.
Other Relevant Qualifications
12. Experience and skills relevant to the post applied for (Attach documentary evidence)
Date
From
13.
14.
Post/s
Name and Address of Employer
To
Present
Employment
& Employer
Post Held
(a)
guilty?
Date of Present
Appointment
Date confirmed (if
in permanent post)
Present Basic
Salary (Rs)
Salary Scale
Have you ever been prosecuted before a court of law for any offence AND subsequently found
Answer Yes or Noif yes, give details hereunder:
..
.
.
(b) Have you ever resigned or been dismissed from employment on any grounds whatsoever?
Answer Yes or Noif yes, give details hereunder
..
.
.
15.
IMPORTANT
PLEASE READ THE ADVERTISEMENT CAREFULLY: Incomplete, inadequate or
inaccurate filling of the Form may cause the applicants elimination from consideration.
It is an offence to give false information or to conceal any relevant information. This
may lead to an application being rejected or if a candidate has already been appointed,
to the termination of his appointment.
DECLARATION
I, ., the undersigned, declare that the particulars in this
application form are true and accurate and that I have not willfully suppressed any material fact.
Date..
Signature:
INSTRUCTIONS
1.
Please complete the application form, fully in original, in your handwriting and forward it to the DirectorGeneral, Mauritius Ports Authority, H. Ramnarain Building, Mer Rouge, Port Louis. If a GOVERNMENT
OFFICER,
PLEASE
FORWARD
YOUR
APPLICATION
THROUGH
YOUR
HEAD
OF
MINISTRY/DEPARTMENT.
2.
Please read the advertisement carefully, and do not apply if you do not have the full professional
and/or academic qualifications laid down in the advertisement.
3.
You may please attach relevant photocopies of birth and educational certificates.
4.
It is an offence to give false information or to conceal any information on this form.
