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This document is an application form for Amity Institute of Higher Education in Mauritius. It requests personal details such as name, date of birth, address, nationality, and contact information. It also asks for program details like intended major, intake term, and study type. Additionally, it requires educational history and qualifications, awards, publications, employment history, and a personal statement. By signing, the applicant agrees to provide truthful information and accept the institution's policies if accepted.

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Rajshree Dewoo
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163 views4 pages

Form

This document is an application form for Amity Institute of Higher Education in Mauritius. It requests personal details such as name, date of birth, address, nationality, and contact information. It also asks for program details like intended major, intake term, and study type. Additionally, it requires educational history and qualifications, awards, publications, employment history, and a personal statement. By signing, the applicant agrees to provide truthful information and accept the institution's policies if accepted.

Uploaded by

Rajshree Dewoo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form

Level 5, Wing B, Cybertower 1, Ebene, Mauritius (Approved and Accredited by Tertiary Education Commission, Mauritius)

Complete ALL sections in BLOCK CAPITALS in black ink or electronically for email and attach copies of certificates/other required documents. CATEGORY OF STUDENT International Student Resident Permit Holder APPLICANT DETAILS Surname/Family name Maiden Name (if applicable) First/Given name (s) Date of Birth (dd/mm/yy) Permanent Address Street City/Town Postcode/Zipcode Country Email address. (Please ensure details are legible and accurate.) Telephone number Mobile/cellphone Nationality Male Title: Mr Ms Female Mrs Other ........... Mauritian Citizen Others (Please Specify)

Correspondence Address (if different from Permanent Address) This is the address we will use for all correspondence regarding your application. Street City/Town Postcode/Zipcode Country Tel. (inc. country code) PROGRAM APPLIED FOR a) Programs

BBA BA - Tourism Admin. B.Sc. - IT BFIA (Bachelor of Finance


and Investment Analysis)

MBA MBA - IB MA - Tourism Admin. Master of Financial Mgmt.

b) Mode of Study Full-Time c) Intake February 2013 How did you come to know about Amity Institute of higher Education, Mauritius Part-Time Distance Learning

EDUCATIONAL QUALIFICATION (Attach photocopies of all academic mark sheets with the form) Name of School /University O Level / Equivalent Location Main Subjects / Stream Percentage/ Grades Obtained

A Level / Equivalent

Under Graduation

Post Graduation

AWARDS/ACHIEVEMENTS, IF ANY (LAST 2) Name Received when For what

BOOKS WRITTEN AND ARTICLES PUBLISHED IN JOURNALS/MAGAZINES Title of Book/Article Details of Publication Year of Publication

CONDUCT Have you ever been suspended, dismissed or put on academic probation or warning at any school or college? Yes No If 'Yes' please explain on a separate sheet or paper.

EMPLOYMENT HISTORY (IF APPLICABLE) Work Experience Yes No Years Months

If Yes' total years of work experience Details of current / last job Organization Name: Address of Organization:

City/Town E-mail: Dates From Designation: PROFESSIONAL COURSES Institution Course

Tel:

To

Full-Time

Part-Time

Full / Part Time

Dates attended
From To From To

Qualification Awarded

ADDITIONAL INFORMATION (You may give any additional Information including your past achievements, awards, recognitions, etc.)

PERSONAL STATEMENT (Please give reasons for choosing this programme of study. You may attach further sheets)

DECLARATION I confirm that all information given by me in this application is true, complete and correct. I understand that my application or any subsequent offer may be withdrawn by Amity Institute of Higher Education, Mauritius if in the future, the information provided proves to be inaccurate, either intentionally or unintentionally. I hereby also authorize the Institute to conduct enquiry or investigation of the above information for the purpose of verification. In addition, I have read, understood and accept the Course Fees, charges and Refund Policy as given in website (http://www.amity.edu/mauritius). While I am a student, I shall abide by all the rules of the Institute.

Signature: CHECK LIST Payment of Course Application Fees Copy of Passport/NIC Work Experience Testimonials (If any) CONFIDENTIALITY CLAUSE Completed Application Form

Date:

Copies of Educational Certificates and Transcripts Two Passport Size photographs

Amity Institute of Higher Education, Mauritius is committed to maintaining the confidentiality of the student's personal information and undertakes not to divulge any such information to any third party without the prior written consent of the student SUBJECT TO the obligation of Amity Institute of Higher Education to disclose to any Mauritian Government Authority any information relating to the student in compliance with the law and/or to the organization conferring/awarding the qualification.

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