Confirmation r Pt

7/31/2019 Confirmation r Pt

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Rduit, Mauritius

TELEPHONE:(230) 403-7400 FAX:(230) 454-9642/464-8004

Website: http://www.uom.ac.muEstablished 1965

UNIVERSITY

OF

MAURITIUS

APPLICATION FOR ADMISSION-UNDERGRADUATE

ACADEMIC YEAR 2012/2013

Maiden name (For married Women):

Other Names(in full):

Surname(in full):1.

Application No.

Any Disability (Physical or otherwise) you would wish to apprise the University of:7.

S2805913021891

National ID No.

Mauritian

Nationality6.

Single

Marital Status5.

Male

Sex4.Date of Birth3.

Email:

Fax No. :

Office:

Mobile:

Home:Telephone No.

20, ROUTE ROYALE, LA-LOUISE,

QUATRE-BORNES

Address for correspondence:2.

SEEBORUTH

SANJIV

1246512

2955036

[email protected]

9176290

28-May-1991

Entry Date Time: 20-Mar-2012 11:33 am

ONCE A CANDIDATE HAS BEEN OFFERED A SEAT ON A PROGRAMME INDICATEDAS A HIGHER PRIORITY NO OFFER WILL BE MADE ON PROGRAMME/S INDICATED

AS LOWER PRIORITY

IMPORTANT NOTE :

8. TITLE OF PROGRAMME/S APPLIED FOR (IN ORDER OF PRIORITY)

Programme CodeProgramme Name (As advertised)Priority

BSc (Hons) Mathematics1 SC320

BSc (Hons) Mathematics with Computer Science2 SCE321

BSc (Hons) Computer Science (Full-Time)3 E318

BSc (Hons) Information Systems4 E311

THE UNIVERSITY WILL NOT ACCEPT ANY CHANGE IN THE CHOICE AND ORDER OF PRIORITY OF PROGRAMMES AFTER AN

APPLICATION HAS BEEN SUBMITTED.

Page 1 of 620-March-2012


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9. List all subjects already taken in exactly the same order as presented in your certificates. Give the three best

attempts in sections 9.1 - 9.2.2 and the respective month/year of examinations. Group together all subjects taken at

each sitting.

YOUR APPLICATION WILL NOT BE CONSIDERED VALID AND AN OFFER OF A SEAT WILL BE AUTOMATICALLY

WITHDRAWN IF INCORRECT INFORMATION IS GIVEN IN SECTIONS 9.1, 9.2, 9.3, 9.4, 10 and 11.

SC/GCE/IGCSE ORDINARY LEVEL RESULTS9.1

11/07Date of Attempt (Month/Year):MU127/01111st Attempt Index No.:

SUBJECTS GRADES (e.g. 1,2,3 or A,B,C)

ENGLISH LANGUAGE 8

FRENCH 5

MATHEMATICS 5

ADDITIONAL MATHS 7

PHYSICS 7

CDT:DESIGN & COMMUNICATION 3

COMPUTING 8

SC Grade Aggregate: 35

11/08Date of Attempt (Month/Year):MU191/01082nd Attempt Index No.:

SUBJECTS GRADES (e.g. 1,2,3 or A,B,C)

ENGLISH LANGUAGE 7

FRENCH 7

MATHEMATICS 3

ADDITIONAL MATHS 5

PHYSICS 5

CDT:DESIGN & COMMUNICATION 2

COMPUTING 7

SC Grade Aggregate: 29

HSC ADVANCED LEVEL RESULTS (ENTER GRADES OBTAINED AT ADVANCED LEVEL ONLY - NOT ADVANCED

SUBSIDIARY)

9.2

Examining Body: Cambridge/London

If other ,Specify:

1st Attempt MU295/0590Index No.: Date of Attempt (Month/Year): 11/11

Subjects obtained at Principal or Advanced Level GRADES should be exactly as per

certificate i.e (A,BE for HSC ) &

(1,27 for International BAC)

DESIGN & TECHNOLOGY B

MATHEMATICS C

PHYSICS E



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HSC SUBSIDIARY LEVEL RESULTS (ENTER GRADES OBTAINED AT SUBSIDIARY LEVEL ONLY)9.3

Examining Body: Cambridge/London

If other ,Specify:

1st Attempt MU295/0590Index No.: Date of Attempt (Month/Year): 11/11

Subjects obtained at Subsidiary Level GRADES should be exactly as percertificate i.e (a,be for HSC ) &

(1,27 for International BAC)

GENERAL PAPER c

FRENCH b

You are requested to verify your SC and HSC results carefully. Ensure that you have entered the subjects

obtained at Advanced level in section 9.2 and those obtained at Subsidiary level in section 9.3. Any mistake

on your part may result in your scores being wrongly computed

9.4 Rank at November/December 2011 HSC Examinations (if applicable):

10. PREVIOUS OR CURRENT PROGRAMMES FOLLOWED AT UNIVERSITY OF MAURITIUS.

Are you still a student at the University of Mauritius

Has your registration been terminated on the basis of failure

Have you withdrawn from any programme

YearMonth Year Month

Title of ProgrammeStudent ID Ongoing/Withdrawn/

Failed

From To

10.2 Give relevant information for programmes successfully completed at the University of Mauritius

FromDegree/Diploma

classification

Title of Programme To

Month Year Month Year

Student ID Overall

%/CPA/CPA

-

11.OTHER QUALIFICATIONS (Any other Post-Secondary Qualifications obtained)


Title of AwardAwarding Body Level Achieved From ToPercentage

Achieved

-

12. THIS SECTION SHOULD BE FILLED IN BY THOSE IN EMPLOYMENT



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ToFrom


Name & Address of

Employer /Firm

Position Held Job Description

Give all relevant information about previous and present employment as follows:

13. THIS SECTION IS RELEVANT TO NEEDY APPLICANTS ONLY

If you are in receipt of social aid from the Ministry of Social Security and National Solidarity, tick the box

below and attach documentary evidence from the Ministry.

Tick the Box:

14. THIS SECTION IS APPLICABLE TO MATURE CANDIDATES ONLY (25 Years and above with at least 5 years

of relevant work experience)

If you wish to be considered as Mature Candidate, it is compulsory for you to tick the box below and attach

documentary evidence with regard to work experience. (Only those who have filled in this section and submitted the

requested documents will be considered for admission as Mature Candidates.)

Tick the Box:

15. APPLICATION FEE (ONLY BANK OFFICE CHEQUE OR POSTAL MONEY ORDER WILL BE ACCEPTED)

Cheque

Details:Bank office Cheque

Bank Name Bank Branch/ Post Office Branch Cheque No.QUATRE BORNES 71930191THE MAURITIUS

COMMERCIAL BANK LTD

Important Note : Applicants should write their Application No. and their full name at the back of the Bank Office Cheque

or Postal Money Order and send it to the University together with a printed and signed copy of their

online Application Form only. Qualifications obtained after the closing date will not be considered.

Please use checklist provided.



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16. THIS SECTION MUST BE FILLED BY ALL APPLICANTS AND COUNTERSIGNED BY PARENT / LEGAL

GUARDIAN IF UNDER 18 YEARS OF AGE

Date:........./........./............

IF UNDER 18 YEARS OF AGE

Name of Parent /Guardian:.................................................................................

I, ........................................................................................................................................................ ,solemnly

declare that if admitted to the University, I will diligently follow the programme of study for which I am selected to its

completion or the termination of my Registration; that I will conform to all the rules and regulations of the University and

that I will inform the Registrar, in writing and without delay, if I withdraw from the programme before completion of same.

I undertake, in the event of my being offered a seat at the University of Mauritius, to pay all fees as per University

requirements, failing which legal action may be taken against me. I also agree that if I do not pay all fees due to the

University of Mauritius, I may be denied access to examinations and/or be denied my final award certificate.

I declare that the above information is correct and I am aware that my application will be invalid

and an offer of a seat, if made, will be automatically withdrawn in case of wrong information being

provided and/or wrong entries.

Date:........./........./............

SEEBORUTH Sanjiv

Signature of Applicant:.....................................................

Signature:...............................................................................



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CHECKLIST FOR APPLICATION SUBMISSION

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