TECHNICAL SCHOOL MANAGEMENT TRUST FUND

INSTITUT SUPÉRIEUR DE TECHNOLOGIE

Rue de la Concorde, Camp Levieux, Rose-Hill, Mauritius

TELEPHONE : (230) 466-0444 - FAX : (230) 466-3774 - e-mail :

APPLICATION FOR ADMISSION – ACADEMIC YEAR 2004 - 2005

Candidates should read the Notes of Guidance carefully before filling in this Application Form.

(This form should be accompanied by photocopies of birth and educational certificates together with a non-refundable application fee of Rs 200.)

(PLEASE USE BLOCK LETTERS)

1. Surname : …………………………………………….…………………………………………….………………………
Other names : ………………………………………………………………

Maiden name (if married) : …………………………………………… (Enclose photocopy of marriage certificate)

2. Address for correspondence :…………………………………………..
………………………………………………………………………………..
……………………………………………………………………………….. / Telephone N°.
Home : ………………………
Office :……………………….
3. DATE OF BIRTH
Day Month Year /
  1. SEX
Male Female /
  1. MARITAL STATUS
Married Single /
  1. NATIONALITY
Mauritian If not Mauritian,specify
/ ……………………..

7. Course Applied For (in order of preference)

1..…………………………………………………………………..

  1. …………………………………………………………………
  2. …………………………………………………………………

8. Educational details (Note : Qualifications obtained afterthe closing date will not be considered.)

Details of Secondary schools and / or other Educational Institutions attended.

INSTITUTIONS / ENTERED / LEFT
Month / Year / Month / Year
………………………………………………………………
………………………………………………………………
……………………………………………………………… / ……………
……………
…………… / ……………
……………
…………… / ……………
……………
…………… / ……………
……………
……………

8.1. List all subjects already taken, including failures, in exactly the same order as presented in Certificate. Give the three best attempts for each certificate and their years and months of examinations. Group together all subjects taken at one sitting.

SC/GCE "O" LEVEL RESULTS / GRADES (e.g. 1,2,3…….or A,B, C, …….) / For Office
use only
Date of attempt (Month / Year)
SUBJECTS / 1st
Attempt / 2nd
Attempt / 3rd
Attempt
1
2
3
4
5
6
7
8
9
10

8.2

HSC/GCE A-LEVEL RESULTS
/ GRADES (e.g. 1,2,3…… or A,B, C, …….) / For Office
use only
Date of attempt (Month / Year)
SUBJECTS / 1st
Attempt / 2nd Attempt / 3rd
Attempt
List all Subjects taken at Principal or Advanced Level
1.
2.
3.
4.
Subjects taken at Subsidiary Level
1. / General Paper
2.
3.
4.

8.3Other qualifications

Name of qualification: / Overall Grade (Please tick)

Pass Credit Distinction

Other: ………………………………….. / For Office
use only
Institution:
Date of attempt (Month / Year)
SUBJECTS / GRADES (e.g. 1,2,3…….or A,B, C, …….)
1st
Attempt / 2nd Attempt / 3rd
Attempt
1
2
3
4
5
6
7
8
9
10

8.4 Are you preparing for any other examination?Yes No

If yes, indicate the course and approximate examination period.

…………………………………………………………………………………………………………..

9. Give all relevant information about previous and present employment, if applicable. If you are not in any employment, give details of any relevant industrial training you may have undergone during your studies at school.

From / To / Name & Address of
Employer/Firm / Position
Held / Job Description
Month / Year / Month / Year

10. This sub-section should be filled in if the applicant is employed. (You must attach a letter from the employer certifying your employment with him.)

Name of Employer: ………………………………………… Phone N°. of Employer ………………….

Attached Ministry (if Govt. Job)

(Tick as appropriate)Sponsored Released Release in process

Note : A Sponsored Applicant is one who will be released and the payment will be settled by the employer.

DECLARATION OF EMPLOYER

I/We hereby agree to Mr/Mrs/Miss ………………………………………………………………… following a course of ……………………………………………………………………………………at the Institut Supérieur de Technologie and I/We undertake to release him/her to follow the said course if he/she is selected.

Date …./…./…..Signature …………………………..SEAL OF EMPLOYER

Position …………………………..

11. Have you any particular career in view?

Yes No

If so, specify : ……………………………………………………………………………………

12. THIS SECTION SHOULD BE FILLED IN IF YOU ARE UNDER 18 YEARS OF AGE

Name of parent/guardian …………………………………………Phone N°. (if any) Home …………..

Office…………... ………….…………………………………………………………

His/Her occupation ……………………………………………….

DECLARATION OF PARENT/GUARDIAN

I, ……………………………………………………………………….., parent/guardian of the above-named ……………………………………………………………………………, hereby consent to his/her signing the above declaration and agree to be bound with him/her for the execution thereof.

Date ….../……./……..Signature …………………………………….

13. THIS SECTION MUST BE FILLED IN BY ALL APPLICANTS

I, …………………………………………………………………………………….., solemnly declare that if admitted to the Institute, I will diligently follow the course of study for which I am selected to its termination; that I will inform the Administration in writing and without delay, if I withdraw from the course; and that I will conform to all rules and regulations of the Institute. I certify that I will pay in advance all fees and dues required and I also declare that the above information is correct.

Date ……./……./……..Signature ……………………………………..

For office use only.

Receipt N°.
Name: ……………………
Date: ……………………
Signature: ……………….. / REMARKS

Institut Supérieur de Technologie

Notes of Guidance

Before filling in the Application Form, you are strongly advised to read carefully the notes below.

  1. A candidate may apply for one, two or all the four courses offered. He should write the title of the course applied for, in order of preference.
  2. Information on the course content of the courses being offered are available at IST or on our website and candidates are advised to take note of these, to ensure that the course for which they are applying, suit their needs.
  3. Together with each application form duly filled in, you should submit a photostat copy of each of your birth and educational certificates. Original certificates should NOT be submitted at the time of application but you have to produce them at the time of registration in case you are selected.
  4. Candidates holding the "Brevet de Technicien" or "Baccalauréat Scientifique ou Technique" qualifications must submit a photostat copy of their last end-of-term report.
  5. For candidates holding the HSC/GCE A-level qualifications, preference will be given to those having Mathematics and Physics at Principal or Advanced level.
  6. The attention of candidates who are in employment is invited to section 10 of the application form. If this section is left blank, it will be assumed that the candidate is not in any employment. If the candidate is employed, he should ask his employer to indicate whether he undertakes to release him to follow the course. This should be done prior to the closing date and under no circumstances will a late application be considered.
  7. Any other relevant information may be furnished on a separate sheet of paper if necessary.
  8. Courses will be conducted in French
  9. (a) Completed application forms together with all supporting documents and the application fee of Rs 200 (non-refundable) should be submitted in person at the Institute on or before the 27th June 2003.

(b)Applications received after the closing date or not supported by relevant documents will not be considered.

(c)Photostat copies of certificates and other documents submitted will not be returned to candidates.

(d)Two passport size photos must be submitted at the time of application

10Candidates may have to appear for an interview.

P.T.O

11 (a)A registration fee of Rs 1,000 (non-refundable) is payable for the preparatory courses upon registration in September, together with an insurance fee of Rs. 50 .

(b)The following fees are payable per annum at the end of January:

- Registration Rs. 3500

- ExaminationRs. 600

- InsuranceRs.50

- Student CouncilRs.75

(c)50% of the registration and examination fees may be refunded to those who leave by the end of February. No refund will be made to students who leave after the end of February.

(d)Personnal cheques are not accepted.

Institut Superieur de Technologie

NOTICE EXPLICATIVE DESTINEE AUX CANDIDATS

Il vous est fortement recommandé de lire attentivement la présente notice avant de remplir le dossier d'inscription.

  1. Vous pouvez soumettre votre candidature pour toutes les spécialités. Indiquez les spécialités choisies par ordre de préférence.
  2. Des informations concernant les différentes formations sont à votre disposition à l'Institut et sur son site web. Il vous est fortement conseillé de les consulter, afin de vous assurer de votre choix.
  3. Vous devez joindre au dossier une photocopie de votre bulletin de naissance ainsi que toute attestation ou certificat justifiant votre niveau d'études. Ne joignez pas d'originaux; vous aurez à les produire que lors de l'inscription définitive en septembre.
  4. Titulaires du Brevet de Technicien ou d'un Baccalauréat Scientifique ou Technique, vous devez également fournir une photocopie du bulletin de notes du troisième trimestre de votre dernière année.
  5. Pour les titulaires du HSC / GCE A Level, il est précisé qu'il sera donné préférence à ceux qui ont comme sujets principaux les mathématiques et la physique.
  6. Les candidats sponsorisés par leur entreprise, devront remplir la section 10 du formulaire d'admission. Vous devez avoir l'autorisation de votre employeur pour suivre la formation avant la date de fin de retour des dossiers.
  7. Vous pouvez joindre au dossier toute autre information que vous jugez utile.
  8. La formation à l'Institut Supérieur de Technologie est dispensée en français.
  9. Les formulaires d'admission reçus incomplets ou après le 27 juin 2003 ne seront pas considérés.
  10. Le formulaire d'admission ainsi que les différents documents joints resteront la propriété de l'Institut.
  11. Deux photos seront jointes au formulaire d’inscription.
  12. L'Institut pourra procéder à une audition des candidats.
  13. Frais de scolarité:

a)Des frais de dossier, non remboursables, de Rs200 vous seront demandés à la remise du dossier.

b)Pour le cycle préparatoire, des frais de scolarité de Rs1000, (non-remboursables) vous seront demandés à l'inscription en septembre.

c)Les frais ci-dessous seront à régler chaque année au mois de janvier:

-Frais d’enregistrement: Rs 3500

-Frais d’examensRs 600

-AssuranceRs 50

-Student CouncilRs 75

d)50% des frais d’enregistrements et d’examens seront remboursés si l’étudiant quitte l’Institut avant la fin du mois de février.

e)Les chèques personnels ne sont pas acceptés.