PublicServiceCommission Form7 v1.0

Embed Size (px)

Citation preview

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    1/7

    Month/Year

    1. Post Applied for..................................................................................................................................

    .............................................................................................................................................................

    Ministry/Department...........................................................................................................................

    Date of Advertisement/Vacancy Circular............................................................................................

    Previous Posts Applied for 1..........................................................................................................

    2..........................................................................................................

    Phone No : Office............................... Home........................ Mobile............................ Email address :.......................................

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

    Nationality....................................... Certificate No. (If Naturalised).................................................& Date.....................................

    REPUBLIC OF MAURITIUS

    PUBLIC SERVICE COMMISSION

    Application Form

    P.S.C. Form 7

    2. National Identity No.

    Result........................... Aggregate.....................

    Subject Grade

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    Index No.Exam. Centre No.

    4. SECONDARY ORDINARY LEVEL

    State whether Cambridge S. C. or Cambridge G.C.E. or London General Certificate of Education (Ordinary Level)

    ................................................................................................. ......................................................................................................

    Subject Grade

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    ..............................................................................................

    Month/Year Index No.Exam. Centre No.

    Marital Status : Married Single Other :.....................................................

    Title Mr Mrs Miss Ms

    Read carefully the enclosed Notes

    & Instructions to candidates

    before filling this form

    FOR OFFICIAL USE

    INDEX No.

    (in block letters)

    Other Names :......................................................................................................................................

    Maiden Name (if applicable) :.............................................................................................................

    3. Residential Address :

    (in block letters)

    Surname :............................................................................................................................................(in block letters)

    Result........................... Aggregate.....................

    .............................................................................................................

    .............................................................................................................

    .............................................................................................................

    Height Chest Weight Grading

    .............................................................................................. ..............................................................................................

    PSC JOB ADVERTISEMENT-Click Here

    * Mandatory Fields. (Please use only Adobe Acrobat Reader for opening this PDF)

    * PROJECT OFFICER/ SENIOR PROJECT OFFICER

    * Ministry of Local Government and Outer Islands

    *(day/month/year e.g 30/11/2008)

    10/10/2014

    Project Assistant

    * S 0 4 1 0 8 8 4 5 0 0 3 2 5

    *

    SOBRON

    * KAVISH

    * ROYAL ROAD, SOOBRUN LANE, SEBASTOPOL

    4372227 57011776 * [email protected]

    0 4 1 0 8 8 * 2 6 SebastopolMauritian

    (day/month/year e.g 30/11/2008)

    Cambridge S.C.

    1 1 0 4 M U 1 2 6 0 1 4 2

    English Language C

    French A

    Mathematics A

    Additional Mathematics B

    Chemistry A

    Physics B

    Biology B

    PASS 15

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    2/7

    Month/Year

    Subject Grade

    .......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    ......................................................................................................

    ......................................................................................................

    Index No.Exam. Centre No.

    5. SECONDARY ADVANCED LEVEL

    State whether Cambridge H. S. C. or Cambridge G.C.E. or London General Certificate of Education (A Level)

    ............................................................................................... ......................................................................................................

    Subject

    Month/Year Index No.Exam. Centre No.

    Level Principal(P), Subsidiary(S), Advanced Subsidiary(AS)

    Result...................................

    6. Other Secondary Qualifications(e.g. Baccalaureat, Matriculation, Secondary & Higher Secondary Certificates from Overseas).

    Note : Attach photocopies of marksheets/result slips and equivalence of certificates (if available)

    Examining Body...............................................................................................................................

    Country.......................................................................................................................Year................

    Certificate..........................................................................................................................................

    Subject Grade Marks Percentage

    Result...................................... TOTAL.......................

    Level GradeLevel

    Level Principal(P), Subsidiary(S), Advanced Subsidiary(AS)

    Result...................................

    .......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    ......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    ......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    .......................................................................................................

    ......................................................................................................

    ......................................................................................................

    ......................................................................................................

    ........................................

    ........................................

    ........................................

    ........................................

    ........................................

    .......................................

    ........................................

    ........................................

    ........................................

    ........................................

    ........................................

    ........................................

    7. TECHNICAL AND VOCATIONAL QUALIFICATIONS(e.g. Typing and shorthand, B.A.P., Technician Certificate, I.V.T.B.

    Certificate (NTC) etc.)

    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)

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    Cambridge H.S.C

    1 1 0 6

    General Paper

    Chemistry

    Physics

    Biology

    Mathematics

    PASS

    (day/month/year e.g 30/11/2008)

    M U 0 1 3

    (day/month/year e.g 30/11/2008)

    0 6 2 1

    AS

    P

    P

    P

    P

    c

    AA

    B

    C

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    3/7

    8. 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)

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    9. 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)

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    PUBLIC SERVICE COMMISSION

    Name :.....................................................................................................................................................................................................

    Address :.....................................................................................................................................................................................................

    ......................................................................................................................................................................................................

    ......................................................................................................................................................................................................

    ......................................................................................................................................................................................................

    Please write your name and address below

    UNIVERSITY OF MAURITIUS MAURITIUS

    11/08/2007 05/07/2011

    B.Eng(Hons) Civil Engineering 2:2

    05/07/2011

    SOBRON KAVISH

    ROYAL ROAD, SOOBRUN LANE, SEBASTOPOL

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    4/7

    11. Other Qualifications as laid down in the advertisement(e.g. Driving Licence (Specify type), First Aid,IT etc. Specify date)

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

    EMPLOYMENT HISTORY

    13.1 (i) Present Employment in the Government Service

    Post held Temporary/Substantive Min./Dept.

    ......................................................... .............................................................. ..............................................................

    Present Salary per month

    Rs

    ..............................................................

    Date of Present Appointment Date of Confirmation in the Service

    (Date

    e.g. 01

    Month

    01

    Year

    02

    10. 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)

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    ................................................................................................. ......................................................................................................

    -Registered Professional Civil Engineer with the Council of Registered Professional Engineers of Mauritius(CRPE)-Excellent MS office and AutoCad skills- Working Knowledge of MS Project- Full valid driving license

    -3yrs working experience as a graduate civil engineer in both Contracting, Consulting as well as client side-Excellent Communication Skills-Excellent Interpersonal Skills

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    5/7

    (ii) Previous Employment in the Government Service

    Post held

    ..................................................

    ..................................................

    ..................................................

    Temporary/Substantive

    ..................................................

    ..................................................

    ..................................................

    Min./Dept.

    .................................................

    .................................................

    .................................................

    Date of Appointment

    ..................................................

    ..................................................

    ..................................................

    13.2 If on leave without pay whilst in government service during the last five years state :

    Period on leave : From.............................. To.............................. Purpose (study, employment etc...)

    Give details if applicable : (Organisation, Post held etc.)

    13.3 EMPLOYMENT OTHER THAN IN THE GOVERNMENT SERVICE

    Date

    From To

    .............................. ..............................

    .............................. ..............................

    .............................. ..............................

    Name and address of employer

    ....................................................................

    .....................................................................

    ....................................................................

    Post/s

    ................................................................

    ................................................................

    ................................................................

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

    Answer Yes 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 last10 years ?

    Answer Yes No....................If yes, give details (court, charge, date of judgment and sentence - e.g. imprisonment, fine, caution

    or conditional discharge) :

    ...........................................................................................................................................................................................................

    ............................................................................................................................................................................................................

    Please also f il l in the fol lowing acknowledgement sli p

    Dear Sir / Madam Index No :.................................

    I am directed by the Public Service Commission to acknowledge receipt of your application made in response to

    Public Advertisemnent / Circular Note :

    Dated :......................................................................................................................................(write date of advert / circular)

    Post :.........................................................................................................................................(write post applied for)

    for Secretary

    Public Service Commission

    TRAINEE ENGINEER Temporary ROAD DEVELOPMENT 01/03/2012

    AUTHORITY

    Trainee Engineer Dagon Ingenieur Conseil Ltd

    LAXMANBHAI & CO(Mtius) LtdAssistant QS/ Trainee Engineer

    01/10/2011

    11/07/2011

    28/02/2012

    01/10/2011

    10/10/2014

    PROJECT OFFICER/ SENIOR PROJECT OFFICER

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

    (day/month/year e.g 30/11/2008)

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    6/7

    16. 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 applicant, declare that the particulars in this application are true

    and accurate and that I have not wilfully suppressed any material fact.

    Date ......................................... Signature...............................................................

    15. Have you ever resigned or retired or been dismissed from the Public Service on any grounds whatsoever ?

    Answer Yes No.................... If yes, give details :

    ...........................................................................................................................................................................................................

    ...........................................................................................................................................................................................................

    ...........................................................................................................................................................................................................

    ...........................................................................................................................................................................................................

    SOBRON KAVISH

    SubmitPrint Reset

    (Date not applicable for Online Application) (Not applicable for Online Application)

    All supporting documents have to be submitted in person at the Public Services Commission before the

    closing date and time of the application.

  • 8/10/2019 PublicServiceCommission Form7 v1.0

    7/7

    PUBLIC SERVICE COMMISSION

    NOTES AND INSTRUCTIONS TO CANDIDATES

    (1) The Application Form should be completed in the candidates own handwritingand forwardedto the Secretary, Public Service Commission, 7, Louis Pasteur Street, Forest Side.

    (2) It is very important for the candidate to indicate his National Identity Number in the spaceprovided at item 2 of the Application Form.

    (3) Care should be taken to fill in the Application Form correctly. Incomplete, inadequateor inaccurate filling of the Application Form may entail a candidates elimination.It is an offence to give information which is false or to conceal any relevant information. Thismay lead to an application being rejected or, if a candidate has already been appointed, to thetermination of his appointment.

    (4) Qualifications obtained afterthe closing date for the submission of applications as specified inthe advertisementwill notbe accepted. Only qualified persons should apply.

    (5) Applications not made on the prescribed formwill notbe accepted.

    (6) Applications received after the closing date and time mentioned in the advertisement will

    not be accepted. The onus for the prompt submission of applications so that they reach theSecretary of the Commission in time lies solely on applicants.

    (7) If a candidate is employed by Government, the application form should be completed in duplicateand the duplicate forwarded through his Supervising Officer.

    (8) The post applied for should be clearly marked on the top left hand corner of the envelope.

    (9) The completed form should contain full details regarding previous experience, qualificationsand any other factors which would qualify the candidate to carry out the duties of the postapplied for. Documentary evidence and a statement of relevant particulars, e.g. job descriptionand content, dates and employers certificate should be attached with the Application form.

    (10) Should there be any matter not covered by the Application Form that the candidate wishes tobe considered with his application, the details must be given on an additional sheet to beannexed thereto.

    (11) Birth certificate, school leaving certificate, examination certificates, testimonials or any otherpapers should not be sent with the Application Form unless specified otherwise, but theseshould be readily available and produced when requested.

    (12) A candidate who is overseas must indicate clearly at the top of the Application Form that he isan overseas candidate and must make his own arrangements to return to Mauritius to attendan interview by the Commission if required to do so.

    (13) A candidate should immediatelyinform the Commission about any change of address.

    (14) A candidate who is proceeding abroad, should immediately inform the Commission of hisoverseas address and the expected date of his return.

    (15) Recruitment by the Commission is made solely on the basis of qualifications and merit.Candidates must guard themselves against any person who promises employment againstreward, financial or otherwise, and report the case immediately to the nearest Police Station.

    (16) Any person who directly or indirectly by himself or by other person and in any manner, influencesor attempts to influence any decision of the Commission or the Chairman or any DeputyChairman or any Commissioner shall commit an offence and shall on conviction be liable to afine and to imprisonment.

    (17) The Commission reserves the right to convene for interview onlythe best qualified candidates.(18) The Commission will not give any reason to candidates not convened for interview.

    (Not applicable for Online Application)