Application Form: Public Service Commission / Disciplined Forces Service Commission
Application Form: Public Service Commission / Disciplined Forces Service Commission
2 SURVEY OFFICER
ROSE HILL
MAURITIUS
Phone : Home 4032700 Mobile 57878300
Office
E-mail vikashmeetoo76@hotmail.com
Date of Birth 01/02/1976 Age 42 Place of Birth SSRN HOSPITAL
Nationality Mauritian Certificate No (If Naturalised) & Date
6. Other Secondary Qualifications (e.g. Baccalaureat, Matriculation, Secondary & Higher Secondary Certificates from
Overseas).
Examining Body
Country Year
Certificate
7. TECHNICAL AND VOCATIONAL QUALIFICATIONS (e.g. Typing and shorthand, B.A.P., Technician Certificate,
I.V.T.B.
Certificate (NTC) etc.)
Specify (i) exact qualifications obtained 60 hour course on customer care and Class/Division/Level RESULT NOT
quality management MENTION
(ii) Date of result 30/11/2008
Specify (i) exact qualifications obtained CERTIFICATE IN INFORMATION Class/Division/Level RESULT NOT
TECHNOLOGY MENTION
(ii) Date of result 31/12/2003
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)
COMPUTER LITERATE
GOOD COMMUNICATION SKILLS
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EMPLOYMENT HISTORY
13.1 (i) Present Employment in the Government Service
Post held Temporary/Substantive Min./Dept.
MINISTRY OF SOCIAL SECURITY,
NATIONAL SOLIDARITY, AND
ENVIRONMENT AND
SOCIAL SECURITY OFFICER Substantive SUSTAINABLE DEVELOPMENT
Date of Present Appointment Date of Confirmation in the Service Present Salary per month Rs
04/02/2010 20/11/1996 33425
13.2 If on leave without pay whilst in government service during the last five years state :
Period on leave : From To Purpose Left
14. (a) Have you been the subject of an investigation/enquiry for any offence during the last 10 years ?
Answer Yes or No 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 last
10 years ?
Answer Yes or No No If yes, give details (court, charge, date of judgment and sentence - e.g. imprisonment, fine, caution
or conditional discharge) :—
15. Have you ever resigned or retired or been dismissed from the Public Service on any grounds whatsoever ?
Answer Yes or No No If yes, give details :-
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.
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DECLARATION