FORM B UNIVERSITY

Réduit, Mauritius OF
MAURITIUS
TELEPHONE:(230) 403-7400 FAX:(230) 454-9642/464-8004
Established 1965
Website: http://www.uom.ac.mu

APPLICATION FOR ADMISSION- ACADEMIC YEAR 2019/2020

(TAUGHT POSTGRADUATE DEGREES)
1920331

Application No.

YOU ARE STRONGLY ADVISED TO READ ALL INSTRUCTIONS CAREFULLY BEFORE YOU FILL IN THE
FORM ACCURATELY. YOUR APPLICATION WILL BE INVALID AND AN OFFER OF A SEAT, IF MADE,
WILL BE AUTOMATICALLY WITHDRAWN IN CASE OF WRONG INFORMATION PROVIDED AND/OR
WRONG ENTRIES. LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY AND MUST BE CONSULTED
ON THE ONLINE APPLICATION SYSTEM.

(AS PER BIRTH CERTIFICATE & MARRIAGE CERTIFICATE WHERE APPLICABLE)

1. Surname (in full): Soyjaudah

Other Names (in full): Varma

Maiden name (For married Women):

2. Address for correspondence: Telephone No. Home: 4184168

TOORY RD. BON ACCEUIL

Mobile: 23057590689

Office:

Emergency Contact No. 23057590689

Fax No. :

VALID EMAIL ADDRESS: v.k.soyjaudah@gmail.com

VERY IMPORTANT: LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY. THE UNIVERSITY WILL
NOT TAKE RESPONSIBILITY FOR A WRONGLY ENTERED EMAIL ADDRESS

3. Date of Birth 4. Sex 5. Marital Status 6. Nationality National ID No.

05-Jan-1991 Male Single Mauritian S0501914604468

7. Do you have a major Physical Disability Handicap that may affect your studies? (Please give details)
NO

27-April-2019 Page 1 of 5
8. TITLE OF PROGRAMME/S APPLIED FOR

Priority 1

Programme Name (As advertised) Programme Code

MSc Network Security and Management - (2 Years Part-Time) IC501

9. EDUCATION (Including secondary schools and all places of further education)

NAME AND POSTAL ADDRESS ENTERED LEFT

Month Year Month Year

Mahatma Gandhi Secondary School- Flacq JAN 2003 NOV 2010

University of Mauritius- Reduit AUG 2011 DEC 2017

10. ACADEMIC DETAILS

Degree examinations already passed or to be taken. Diplomas and profesional qualifications should be included here.
if you are presently following a programme at the University of Mauritius, please give details

Awarding Body Name of Award Grade Achieved GPA/CPA or From To

(e.g. Bsc (Hons) Biology) (e.g. 1st Class) Percentage
Month Year Month Year
Achieved
(if Applicable)
GPA CPA %
Achieve

University of BEng Manufacturing 2nd Class 1.64 49.5 AUG 2011 DEC 2017

Mauritius Engineering

27-April-2019 Page 2 of 5
11. List all subjects already taken in exactly the same order as presented in your Certificate. Give the three best
attempts in sections 11.1-11.2 and the respective month/year of examinations. Group together all subjects taken at one
sitting.

11.1 SC/GCE/IGCSE ORDINARY LEVEL RESULTS

2nd Attempt Index No.: MU493/0054 Date of Attempt (Month/Year): 11/08

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

ENGLISH LANGUAGE 5

FRENCH 3

MATHEMATICS 3

ADDITIONAL MATHS 4

PHYSICS 3

CHEMISTRY 4

COMPUTING/COMPUTER 2
STUDIES/COMPUTER SCIENCE
SC Grade Aggregate: 19

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

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

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

certificate i.e (A*,A,B…E for HSC )
& (1,2…7 for International BAC)
MATHEMATICS B
CHEMISTRY D
PHYSICS D

11.3 HSC ADVANCED SUBSIDIARY LEVEL RESULTS (ENTER GRADES OBTAINED AT ADVANCED SUBSIDIARY
LEVEL ONLY)

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

Subjects obtained at Subsidiary Level GRADES should be exactly as per

certificate i.e (a,b…e for HSC ) &
(1,2…7 for International BAC)
GENERAL PAPER a
FRENCH a

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

27-April-2019 Page 3 of 5
 Awarding Body Title of Award Level Achieved Percentage From To
Achieved Month Year Month Year

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

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

From To Name & Address of Position Held Job Description

Employer /Firm
Month Year Month Year
AUG 2017 DEC 2017 ESQUEL MAURITIUS LIMITED TRAINEE INTERNSHIP: POSTED IN
PRODUCTION TECHNICAL
ENGINEER ENGINEERING DEPT.,
WITH FOCUS ON
PRODUCTION
PROCESSES.
FEB 2018 APR 2018 ESQUEL MAURITIUS LIMITED MANAGEMENT POSTED IN THE
TRAINEE SHIPPING DEPT AND
WASHING DEPT.
ALSO CARRIED OUT FEW
PROJECTS NAMELY
CONTROL PLAN AND
FMEA FOR LUDLOW
SHIRTS, ASSISTED LINE
IN CHARGE TO IMPROVE
EFFICIENCY AND
PRODUCTIVITY AND
ALSO WORKED ON
LAYOUT OPTIMIZATIN
USING

14. Give brief details of your activities and responsibilities in your present position

For the time being, i have taken a short break to re -think and re-focus myself on my future plans. In the meantime, i
decided to learn a new language, so i am actually learning German language and have reached C-1 level.
After working with Esquel Mauritius Limited for almost 8 months, i felt that i feel like i need to increase my knowledge
and learn more to sustain in the competitive job market.

15. REFEREES (Please obtain their prior agreement. The University may write to them if and when you are selected.)

REFEREE 1

Name: KESHAV RAMGOOLAM

Occupation: ASST. MANAGER AT ESQUEL MAURITIUS LIMITED

Address: ROYAL ROAD, MARE GRAVIER, BEAU BASSIN, MAURITIUS

Phone No.: (230) 4019850,

Fax No.:

E-mail.: ramgoolamk@esquel.com

27-April-2019 Page 4 of 5
16. THIS SECTION IS APPLICABLE TO MATURE CANDIDATES ONLY (30 Years and above)

If you wish to be considered as Mature Candidate, it is compulsory 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. (Please refer to section 1.6 of the ‘General Information to Students’
handbook 2018/2019 for criteria of eligibility.)

Please tick the box:

17. DECLARATION OF APPLICANT

I,....Soyjaudah Varma.................................................................................................................... ,

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. By providing the UoM with my information and by using the UoM Systems, I consent to all of

my information being used, processed, disclosed and retained as set in the Disclaimer for the UoM Online

Systems ( http://www.uom.ac.mu/index.php/onlinedisclaimer).

Date:........./........./............ Signature of Applicant:.....................................................

27-April-2019 Page 5 of 5
 FORM B UNIVERSITY
Réduit, Mauritius OF
MAURITIUS
TELEPHONE:(230) 403-7400 FAX:(230) 454-9642/464-8004
Established 1965
Website: http://www.uom.ac.mu

APPLICATION FOR ADMISSION- ACADEMIC YEAR 2019/2020

(TAUGHT POSTGRADUATE DEGREES)
1920331

Application No.

YOU ARE STRONGLY ADVISED TO READ ALL INSTRUCTIONS CAREFULLY BEFORE YOU FILL IN THE
FORM ACCURATELY. YOUR APPLICATION WILL BE INVALID AND AN OFFER OF A SEAT, IF MADE,
WILL BE AUTOMATICALLY WITHDRAWN IN CASE OF WRONG INFORMATION PROVIDED AND/OR
WRONG ENTRIES. LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY AND MUST BE CONSULTED
ON THE ONLINE APPLICATION SYSTEM.

(AS PER BIRTH CERTIFICATE & MARRIAGE CERTIFICATE WHERE APPLICABLE)

1. Surname (in full): Soyjaudah

Other Names (in full): Varma

Maiden name (For married Women):

2. Address for correspondence: Telephone No. Home: 4184168

TOORY RD. BON ACCEUIL

Mobile: 23057590689

Office:

Emergency Contact No. 23057590689

Fax No. :

VALID EMAIL ADDRESS: v.k.soyjaudah@gmail.com

VERY IMPORTANT: LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY. THE UNIVERSITY WILL
NOT TAKE RESPONSIBILITY FOR A WRONGLY ENTERED EMAIL ADDRESS

3. Date of Birth 4. Sex 5. Marital Status 6. Nationality National ID No.

05-Jan-1991 Male Single Mauritian S0501914604468

7. Do you have a major Physical Disability Handicap that may affect your studies? (Please give details)
NO

27-April-2019 Page 1 of 5
8. TITLE OF PROGRAMME/S APPLIED FOR

Priority 2

Programme Name (As advertised) Programme Code

MSc Project Management - (2 Years Part-Time) E501

9. EDUCATION (Including secondary schools and all places of further education)

NAME AND POSTAL ADDRESS ENTERED LEFT

Month Year Month Year

Mahatma Gandhi Secondary School- Flacq JAN 2003 NOV 2010

University of Mauritius- Reduit AUG 2011 DEC 2017

10. ACADEMIC DETAILS

Degree examinations already passed or to be taken. Diplomas and profesional qualifications should be included here.
if you are presently following a programme at the University of Mauritius, please give details

Awarding Body Name of Award Grade Achieved GPA/CPA or From To

(e.g. Bsc (Hons) Biology) (e.g. 1st Class) Percentage
Month Year Month Year
Achieved
(if Applicable)
GPA CPA %
Achieve

University of BEng Manufacturing 2nd Class 1.64 49.5 AUG 2011 DEC 2017

Mauritius Engineering

27-April-2019 Page 2 of 5
11. List all subjects already taken in exactly the same order as presented in your Certificate. Give the three best
attempts in sections 11.1-11.2 and the respective month/year of examinations. Group together all subjects taken at one
sitting.

11.1 SC/GCE/IGCSE ORDINARY LEVEL RESULTS

2nd Attempt Index No.: MU493/0054 Date of Attempt (Month/Year): 11/08

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

ENGLISH LANGUAGE 5

FRENCH 3

MATHEMATICS 3

ADDITIONAL MATHS 4

PHYSICS 3

CHEMISTRY 4

COMPUTING/COMPUTER 2
STUDIES/COMPUTER SCIENCE
SC Grade Aggregate: 19

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

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

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

certificate i.e (A*,A,B…E for HSC )
& (1,2…7 for International BAC)
MATHEMATICS B
CHEMISTRY D
PHYSICS D

11.3 HSC ADVANCED SUBSIDIARY LEVEL RESULTS (ENTER GRADES OBTAINED AT ADVANCED SUBSIDIARY
LEVEL ONLY)

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

Subjects obtained at Subsidiary Level GRADES should be exactly as per

certificate i.e (a,b…e for HSC ) &
(1,2…7 for International BAC)
GENERAL PAPER a
FRENCH a

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

27-April-2019 Page 3 of 5
 Awarding Body Title of Award Level Achieved Percentage From To
Achieved Month Year Month Year

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

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

From To Name & Address of Position Held Job Description

Employer /Firm
Month Year Month Year
AUG 2017 DEC 2017 ESQUEL MAURITIUS LIMITED TRAINEE INTERNSHIP: POSTED IN
PRODUCTION TECHNICAL
ENGINEER ENGINEERING DEPT.,
WITH FOCUS ON
PRODUCTION
PROCESSES.
FEB 2018 APR 2018 ESQUEL MAURITIUS LIMITED MANAGEMENT POSTED IN THE
TRAINEE SHIPPING DEPT AND
WASHING DEPT.
ALSO CARRIED OUT FEW
PROJECTS NAMELY
CONTROL PLAN AND
FMEA FOR LUDLOW
SHIRTS, ASSISTED LINE
IN CHARGE TO IMPROVE
EFFICIENCY AND
PRODUCTIVITY AND
ALSO WORKED ON
LAYOUT OPTIMIZATIN
USING

14. Give brief details of your activities and responsibilities in your present position

For the time being, i have taken a short break to re -think and re-focus myself on my future plans. In the meantime, i
decided to learn a new language, so i am actually learning German language and have reached C-1 level.
After working with Esquel Mauritius Limited for almost 8 months, i felt that i feel like i need to increase my knowledge
and learn more to sustain in the competitive job market.

15. REFEREES (Please obtain their prior agreement. The University may write to them if and when you are selected.)

REFEREE 1

Name: KESHAV RAMGOOLAM

Occupation: ASST. MANAGER AT ESQUEL MAURITIUS LIMITED

Address: ROYAL ROAD, MARE GRAVIER, BEAU BASSIN, MAURITIUS

Phone No.: (230) 4019850,

Fax No.:

E-mail.: ramgoolamk@esquel.com

27-April-2019 Page 4 of 5
16. THIS SECTION IS APPLICABLE TO MATURE CANDIDATES ONLY (30 Years and above)

If you wish to be considered as Mature Candidate, it is compulsory 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. (Please refer to section 1.6 of the ‘General Information to Students’
handbook 2018/2019 for criteria of eligibility.)

Please tick the box:

17. DECLARATION OF APPLICANT

I,....Soyjaudah Varma.................................................................................................................... ,

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. By providing the UoM with my information and by using the UoM Systems, I consent to all of

my information being used, processed, disclosed and retained as set in the Disclaimer for the UoM Online

Systems ( http://www.uom.ac.mu/index.php/onlinedisclaimer).

Date:........./........./............ Signature of Applicant:.....................................................

27-April-2019 Page 5 of 5
 FORM B UNIVERSITY
Réduit, Mauritius OF
MAURITIUS
TELEPHONE:(230) 403-7400 FAX:(230) 454-9642/464-8004
Established 1965
Website: http://www.uom.ac.mu

APPLICATION FOR ADMISSION- ACADEMIC YEAR 2019/2020

(TAUGHT POSTGRADUATE DEGREES)
1920331

Application No.

YOU ARE STRONGLY ADVISED TO READ ALL INSTRUCTIONS CAREFULLY BEFORE YOU FILL IN THE
FORM ACCURATELY. YOUR APPLICATION WILL BE INVALID AND AN OFFER OF A SEAT, IF MADE,
WILL BE AUTOMATICALLY WITHDRAWN IN CASE OF WRONG INFORMATION PROVIDED AND/OR
WRONG ENTRIES. LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY AND MUST BE CONSULTED
ON THE ONLINE APPLICATION SYSTEM.

(AS PER BIRTH CERTIFICATE & MARRIAGE CERTIFICATE WHERE APPLICABLE)

1. Surname (in full): Soyjaudah

Other Names (in full): Varma

Maiden name (For married Women):

2. Address for correspondence: Telephone No. Home: 4184168

TOORY RD. BON ACCEUIL

Mobile: 23057590689

Office:

Emergency Contact No. 23057590689

Fax No. :

VALID EMAIL ADDRESS: v.k.soyjaudah@gmail.com

VERY IMPORTANT: LETTERS OF OFFER WILL BE SENT BY EMAIL ONLY. THE UNIVERSITY WILL
NOT TAKE RESPONSIBILITY FOR A WRONGLY ENTERED EMAIL ADDRESS

3. Date of Birth 4. Sex 5. Marital Status 6. Nationality National ID No.

05-Jan-1991 Male Single Mauritian S0501914604468

7. Do you have a major Physical Disability Handicap that may affect your studies? (Please give details)
NO

27-April-2019 Page 1 of 5
8. TITLE OF PROGRAMME/S APPLIED FOR

Priority 3

Programme Name (As advertised) Programme Code

MSc Total Quality Management and Performance Excellence (2 Years Part-Time) E543

9. EDUCATION (Including secondary schools and all places of further education)

NAME AND POSTAL ADDRESS ENTERED LEFT

Month Year Month Year

Mahatma Gandhi Secondary School- Flacq JAN 2003 NOV 2010

University of Mauritius- Reduit AUG 2011 DEC 2017

10. ACADEMIC DETAILS

Degree examinations already passed or to be taken. Diplomas and profesional qualifications should be included here.
if you are presently following a programme at the University of Mauritius, please give details

Awarding Body Name of Award Grade Achieved GPA/CPA or From To

(e.g. Bsc (Hons) Biology) (e.g. 1st Class) Percentage
Month Year Month Year
Achieved
(if Applicable)
GPA CPA %
Achieve

University of BEng Manufacturing 2nd Class 1.64 49.5 AUG 2011 DEC 2017

Mauritius Engineering

27-April-2019 Page 2 of 5
11. List all subjects already taken in exactly the same order as presented in your Certificate. Give the three best
attempts in sections 11.1-11.2 and the respective month/year of examinations. Group together all subjects taken at one
sitting.

11.1 SC/GCE/IGCSE ORDINARY LEVEL RESULTS

2nd Attempt Index No.: MU493/0054 Date of Attempt (Month/Year): 11/08

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

ENGLISH LANGUAGE 5

FRENCH 3

MATHEMATICS 3

ADDITIONAL MATHS 4

PHYSICS 3

CHEMISTRY 4

COMPUTING/COMPUTER 2
STUDIES/COMPUTER SCIENCE
SC Grade Aggregate: 19

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

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

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

certificate i.e (A*,A,B…E for HSC )
& (1,2…7 for International BAC)
MATHEMATICS B
CHEMISTRY D
PHYSICS D

11.3 HSC ADVANCED SUBSIDIARY LEVEL RESULTS (ENTER GRADES OBTAINED AT ADVANCED SUBSIDIARY
LEVEL ONLY)

Examining Body: Cambridge/London

If other ,Specify:

2nd Attempt Index No.: MU492/0543 Date of Attempt (Month/Year): 11/09

Subjects obtained at Subsidiary Level GRADES should be exactly as per

certificate i.e (a,b…e for HSC ) &
(1,2…7 for International BAC)
GENERAL PAPER a
FRENCH a

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

27-April-2019 Page 3 of 5
 Awarding Body Title of Award Level Achieved Percentage From To
Achieved Month Year Month Year

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

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

From To Name & Address of Position Held Job Description

Employer /Firm
Month Year Month Year
AUG 2017 DEC 2017 ESQUEL MAURITIUS LIMITED TRAINEE INTERNSHIP: POSTED IN
PRODUCTION TECHNICAL
ENGINEER ENGINEERING DEPT.,
WITH FOCUS ON
PRODUCTION
PROCESSES.
FEB 2018 APR 2018 ESQUEL MAURITIUS LIMITED MANAGEMENT POSTED IN THE
TRAINEE SHIPPING DEPT AND
WASHING DEPT.
ALSO CARRIED OUT FEW
PROJECTS NAMELY
CONTROL PLAN AND
FMEA FOR LUDLOW
SHIRTS, ASSISTED LINE
IN CHARGE TO IMPROVE
EFFICIENCY AND
PRODUCTIVITY AND
ALSO WORKED ON
LAYOUT OPTIMIZATIN
USING

14. Give brief details of your activities and responsibilities in your present position

For the time being, i have taken a short break to re -think and re-focus myself on my future plans. In the meantime, i
decided to learn a new language, so i am actually learning German language and have reached C-1 level.
After working with Esquel Mauritius Limited for almost 8 months, i felt that i feel like i need to increase my knowledge
and learn more to sustain in the competitive job market.

15. REFEREES (Please obtain their prior agreement. The University may write to them if and when you are selected.)

REFEREE 1

Name: KESHAV RAMGOOLAM

Occupation: ASST. MANAGER AT ESQUEL MAURITIUS LIMITED

Address: ROYAL ROAD, MARE GRAVIER, BEAU BASSIN, MAURITIUS

Phone No.: (230) 4019850,

Fax No.:

E-mail.: ramgoolamk@esquel.com

27-April-2019 Page 4 of 5
16. THIS SECTION IS APPLICABLE TO MATURE CANDIDATES ONLY (30 Years and above)

If you wish to be considered as Mature Candidate, it is compulsory 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. (Please refer to section 1.6 of the ‘General Information to Students’
handbook 2018/2019 for criteria of eligibility.)

Please tick the box:

17. DECLARATION OF APPLICANT

I,....Soyjaudah Varma.................................................................................................................... ,

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. By providing the UoM with my information and by using the UoM Systems, I consent to all of

my information being used, processed, disclosed and retained as set in the Disclaimer for the UoM Online

Systems ( http://www.uom.ac.mu/index.php/onlinedisclaimer).

Date:........./........./............ Signature of Applicant:.....................................................

27-April-2019 Page 5 of 5