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Please read Instructions to For Official Use:

candidates on Page 4 prior to Application No :…………………
filling this form Processed By:………………………

Application Form Verified By:………………………….

1. Post Applied for

…………………………………………………………………………………………………………………………………………

Date of Advertisement/Vacancy ………………………………………………………………………………………………………………………………………..

Circular

2. National Identity Card No. Marital Status

(M = Married, S= Single)
Title Mr. Mrs. 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 French Mathematics Geography/EVS Oriental Language(……………)

5. SECONDARY ORDINARY LEVEL 5.2 London General Certificate of Education

State whether Cambridge S.C or Cambridge G.C.E (Ordinary Level)

……………………………………………………………………………….. ……………………………………………………………………………
Month./Year Month/Year

Subject Grade Subject Grade

Result:…………………….. Aggregate…………………

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6 SECONDARY ADVANCED LEVEL 6.2 London General Certificate of Education

State whether Cambridge H.S.C or Cambridge G.C.E (Advanced Level)

……………………………………………………………………………….. ……………………………………………………………………………
Month/Year 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: From………………………………To………………………………..

Subjects

…………………………………………………… …………………………………………………..

…………………………………………………… …………………………………………………..

…………………………………………………… …………………………………………………..

…………………………………………………… …………………………………………………..

………………………………………………….. …………………………………………………..

8. DIPLOMA QUALIFICATIONS (Below Degree Level)

Name of University/Examining Body…………………………………………………..Country…………………………………………………………………..

Specify exact qualifications obtained……………………………………………………………………………………………………………………………………..

Duration of course/study: From……………………………….……………………To……………..……………………………………………………………………

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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 Post/s Name and Address of Employer

From To

13. Present Date of Present Date confirmed (if Present Basic Salary Scale
Employment Appointment in permanent post) Salary (Rs)
& Employer
Post Held

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14. (a) Have you ever been prosecuted before a court of law for any offence AND subsequently found guilty?

Answer Yes or No………………if yes, give details hereunder:

……………………………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………….

(b) Have you ever resigned or been dismissed from employment on any grounds whatsoever?

Answer Yes or No………………if yes, give details hereunder

……………………………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………….

15. IMPORTANT – PLEASE READ THE ADVERTISEMENT CAREFULLY: Incomplete, inadequate or inaccurate
filling of the Form may cause the applicant’s 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. I am also giving my

consent to the MPA to process my personal data.

Date………….………………………………………………. Signature:…………………………………………………………

INSTRUCTIONS

1. Please complete the application form, fully in original, in your handwriting and forward it to the
Director-General, Mauritius Ports Authority, H. Ramnarain Building, Mer Rouge, Port Louis.

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.

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Revision Date: 10.05.19