Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697809021340.pdf (Mauritius)
THE NATIONAL WOMEN ENTREPRENEUR COUNCIL Application Form 1.

Post Applied for ………………………………………………………………… Date of Advertisement ………………………………………………………….

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National Identity No.

Marital Status: (Other (please specify) Title Mr Mrs Miss Ms Surname Other Names Maiden Name (if applicable) 3.

Residential Address (in block letters) (in block letters) (in block letters) Phone No: Office ……………………… Home ………………………..

Mobile …………………….
Mobile …………………….

Date of Birth Age Place of Birth ………………………….

Nationality ………………………..

Certificate No.

(if naturalised) ……………….. & Date ……… QUALIFICATIONS 4.

SECONDARY ORDINARY LEVEL State whether Cambridge S.C or Cambridge G.C.E ………………………………………………………….... Month/Year Exam Centre No.

Index No.

4.1 London General Certificate of Education (Ordinary Level) ……………………………………………………….

Month/Year Exam Centre No.

Index No.

Subject Grade Subject Grade ……………………………………… ………..... …………………………………… ………….
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Result ………………… Aggregate ……………..

Result ……………… Aggregate …………….. 5.

SECONDARY ADVANCED LEVEL State whether Cambridge H. S.C or Cambridge G.C.E ………………………………………………………….... Month/Year Exam Centre No.

Index No.

5.1 London General Certificate of Education (A Level) ……………………………………………………….
Month/Year Exam Centre No.

Index No.

Principal Subject Grade Advanced Level Grade ……………………………………… ………..... …………………………………… ………….

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Subsidiary Subject Grade Subsidiary Level Grade ……………………………………… ………..... …………………………………… ………….

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General Paper…………………… ………….. …………………………………… ………….


Result ………………… ______________________________________________________________________________________ Result ……………….. 6.

Diploma Qualifications (Below Degree level) (Attach photocopies of marksheets) Name of University/Examining Body ………………………….. Country ……………………… Duration of course/study: From …………….. To ……… Part Time Full Time Distance Education Specify (i) exact qualifications obtained …………………….. Class/Division/Level …………….
(ii) Date of result: …………………….

Subjects (state whether main/subsidiary/major etc where applicable) ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ____________________________________________________________________________________ 7.
DEGREE/PROFESSIONAL QUALIFICATIONS (Attach photocopies of marksheets) Name of University/Examining Body ………………………….. Country ……………………… Duration of course/study: From …………….. To ……… Part Time Full Time Distance Education Specify (i) exact qualifications obtained …………………….. Class/Division/Level …………….

(ii) Date of result: …………………….


Subjects (state whether main/subsidiary/major etc where applicable) ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ____________________________________________________________________________________ 8.
POST DEGREE QUALIFICATIONS (Attach photocopies of marksheets) Name of University/Examining Body ………………………….. Country ……………………… Duration of course/study: From …………….. To ……… Part Time Full Time Distance Education Specify (i) exact qualifications obtained …………………….. Class/Division/Level …………….

(ii) Date of result: …………………….


Subjects (state whether main/subsidiary/major etc where applicable) ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ………………………………………………… …………………………………………….. ____________________________________________________________________________________ 9.

SPECIAL QUALIFICATIONS Where special qualifications are laid down for the post for which you are applying, state here to what extent you possess them.
___________________________________________________________________________________________ 10.

Experience and skills relevant to the post applied for (Attach documentary evidence) ………………………………………………………………………………………………………………….

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EMPLOYMENT HISTORY IN THE COUNCIL’S SERVICE (i) Present employment Post held …………………………………………… ………………………………………… Date of Present Appointment Date of Confirmation in the Service Temporary/Substantive Present Salary per month Rs ……………………….

(Date Month Year) e.g 01 JAN 1990 (ii) Previous employment Post held Temporary/Substantive …………………………………..…….

………………………………………….. ………………………………………… ………………………………………….. ………………………………………… ………………………………………….
_________________________________________________________________________________________ 11.1 OTHER THAN COUNCIL’S SERVICE (INCLUDING PARASTATALS) Posts Date Name and address of employer ………………………….

From ………….. ………….. To …………………………………….. ………………………….

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………….. …………………………………….

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____________________________________________________________________________________________ 12.
(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):- ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………….

____________________________________________________________________________________________ 13.

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: ………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………….. ____________________________________________________________________________________________ 14.

IMPORTANT – 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/her appointment.

1, …………………………………………………… , the undersigned applicant, declare that the particulars in this application are true and accurate and that I have not wilfully suppressed any material fact.

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