Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698141539570.pdf (Mauritius)
MINISTRY OF EDUCATION, TERTIARY EDUCATION, SCIENCE AND TECHNOLOGY APPLICATION FOR ENLISTMENT AS SUPPLY ICT SUPPORT OFFICER TO TEACH IT SKILLS AND PROVIDE IT SUPPORT IN PRIMARY SCHOOLS 1.

Surname: ………………………………………………………………………………………….. (in block letters) Other Names: ……………………………………………………………………………………... (in block letters) Maiden Name (if applicable):……………………………………………………………………… Title: Mr/Mrs/Miss (Delete as appropriate) 2.

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Nationality: ………………………………………………………………………………………...


Date of Birth: ………………………………………….

Age: ……………………………….. National Identity Card No.

: …………………………………………………(Attach copy of ID) Residential Address: ………………………………………………………………........................ ............................................................................................................................................................ 6.

Tel.

No.

(Home/Office/Close relative): ………………………………………………………… Mobile No.
: ……………………………………………………………………………………… E-mail address: …………………………………………………………………………………….

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Qualifications: Cambridge School Certificate Nov/Dec ……... Year: Index No.

Subjects Grade/Level Cambridge/London GCE ‘O’ Level Jan/June…... Year: Index No.

Subjects Grade/Level 1.

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Checked (for office use) Checked (for office use) Cambridge Higher School Certificate Nov/Dec ……... Year: Index No.

Subjects Grade/Level Cambridge/London GCE ‘A’ Level Jan/June…... Year: Index No.
Subjects Grade/Level 1.

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Subsidiary Level General Paper Checked (for office use) Checked (for office use) 1 8.

Other qualifications (Academic, Technical, Professional) Qualifications (in case of degree whether Hons/Special, Ordinary/General) Date obtained Examining Institution …………………………………… ………………….. ……………………………… …………………………………… ………………….. ……………………………… …………………………………… ………………….. ……………………………… Checked (for office use) 9.
Other Qualifications as laid down in the advertisement (Attach documentary evidence) ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- Checked (for office use) 9.
Teaching Experience Institutions Position held Period …………………………………… ………………….. ……………………………… …………………………………… ………………….. ……………………………… …………………………………… ………………….. ……………………………… 10.

(a) Have you been the subject of an investigation/enquiry for any offence during the last 10 years?

Answer: Yes or No: ……..

If yes, indicate nature of offence and date of outcome.
……………………………………………………………………………………………………… ……………………………………………………………………………………………………… (b) Have you ever been prosecuted before a court of law for any offence AND subsequently found guilty during the last 10 years?

Answer: Yes or No: ……..

If yes, give details (court, charge, date of judgment and sentence – e.g.
imprisonment, fine, caution or conditional discharge):- ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… (c) Have you ever been enlisted as Supply ICT Support Officer and subsequently your enlistment was terminated on ground of misconduct or insubordination?

Answer: Yes or No: ……..

If yes, give details.

……………………………………………………………………………………………………… 2 (d) Have you ever resigned or retired or been dismissed from the Public Service on any grounds whatsoever?

Answer: Yes or No: ……..


If yes, give details.

……………………………………………………………………………………………………… 11.

I certify that: (i) (ii) *I am/am not working on a part-time/full-time basis in the public sector.

The particulars given above are correct to the best of my knowledge.

*Delete where appropriate ……………………………………….


Date ……………………………………… Signature of Applicant NOTE Applicants should enclose copies of Birth Certificate, Marriage Certificate (where applicable), National Identity Card, academic qualifications and evidence of teaching experience, if any, as well as documentary evidence regarding computer literacy.

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