About you Section one: preamble You have taken an important step to submit an application for the HTMi Diploma in International Hotel and Tourism Management Programme at Polytechnics Mauritius Ltd. Kindly complete all sections as thoroughly as possible and provide all supporting documents. This application will be used as a basis for short listing.Section two: Personal informationPersonal Details Surname Other Names Maiden Names GenderMaleFemale Date of Birth Age Passport Number Correspondance Address Contact Details Office Home Mobile Email Adress Section Three: Academic Professional qualificationsQualifications(SC/HSC & Above Equivalent)InstitutionAward DateGrades AchievedSection four: Work experienceName and address of EmployerPosts and dates employedBrief description of dutiesReason for leavingSection five: Declaration of criminal recordSince you are applying for the programme of hotel and tourism management and will be placed in hotels, you MUST inform us about any criminal convictions, including spent sentences, cautions (including verbal cautions) and bind-over orders. Applicants are not entitled to withhold information about convictions.Please indicate if you have any conviction. Tick in the box below YesNo If YES, please disclose details of your offence and conviction, including dates and courts convicted at. You may submit this information along with your application form in a separate sealed envelope clearly mentioned confidential with your name on it. If you are convicted of a criminal offence after your application has been submitted, you must notify us. Polytechnics Mauritius Ltd may request further disclosure from you Section six: Disabilities / special need Polytechnics Mauritius Ltd encourages you to disclose any disability/medical condition which could disadvantage your ability to study. All offers are made on academic grounds only and the information you submit will be used to help Polytechnics Mauritius Ltd provide appropriate support. Please tick all that apply No Known disability Learning difficulty Blind/ Serious Visual Impairment Mental Health Condition Wheelchair User/ Mobility Issues Personal Care Support Long standing Illness or health condition Unseen disability, e.g. Diabetes Deaf/ Serious Hearing Impairment Other disabilities not listed here Please provide detail of any additional support you might require: Section seven: Personal statement / additional informationPlease use the below space to tell us about yourself and your reasons for choosing this course. You may use additional sheets if necessary. Section nine : Declaration I confirm that the information given in this form is true, complete and accurate. I accept that if the relevant information is inaccurate or omitted or falsified, Polytechnics Mauritius Ltd reserves the right to reject my application. I hereby confirm that I wish to apply for a full-time seat at Polytechnics Mauritius Ltd. If offered a full-time seat, I understand that, in accepting, I agree to abide by the rules and regulations of the Polytechnics Mauritius Ltd and by signing this application; I confirm my agreement to this. I authorize Polytechnics Mauritius Ltd to approach Government Agencies, Educational Establishments, Former Employers and referees pertaining to my application form for verification of application details and I consent to the Polytechnics Mauritius Ltd processing the information in this form for administrative purposes, including consideration of my application in accordance with the provisions of local prevailing data protection legislation(s) Signature Date Section nine : Checklist for supporting documents (for application ) SC / 10th Standard official results/GCE O Level Certificate HSC / 12th Standard official results/GCSE A Level Certificate Any other Academic qualifications/transcripts Other supporting documents Photocopy of bio-data pages of the passport of the applicant Evidence of Work Placements and Employment duly signed by Employers Evidence of Educational Qualifications duly notarized or "Certified True Copy" of Original certificates by the Ministry of Education or other authorized official body Evidence of Educational Qualifications duly notarized or "Certified True Copy" of Original certificates by the Ministry of Education or other authorized official body 2 Reference Letters (from School Principal or Teacher or Employer – signed and sealed by School or Employer) Recent passport size photographs Application fee paid ($ 100) – paid by bank transfer to Polytechnics Mauritius Ltd Other supporting documents will be required at the application stage for student visa Please leave this field empty.