For Mauritius Campus use only ‘Please complete this frm in lock Capt and n Black nk CCorrolted anpcation forms should be returned to: Middlesex University Mauritius ‘Suite 50-51, First Flooe George Town Guléing, ‘St. Jean Road, Quatre = Bones, Mauritus Tek 4230 a5ea0sa/4852060 Email enquiries @ mdene.com Personal Details ‘SunarmeiFamily name: Previous Surname (if changed: Fiest Names): Tite: MMreiisensOthor: Home Addrass: “ogional fice Reerence Number Middlesex ‘Widdiesex University Reference Number: University ‘Corespondonco Adéross (Hf Ditron) Post Code: Telephone Day: Pest Code: Telephone Evening: Talophono Mobile: Date of bith (immyy) Gender: |_| Male |) Female (Please tisk one) ‘courey of Bich: ‘County of Usual PermanontRasidence: Do you need a student visa to stdin Nauru? Yos Payment of Fees ‘Who will pay your fees: Family Nember Salt Course(s) Applied for Firstchoice Proganme Tio oar of Ey Second choice Nationality: No (tyes, Plase attach copy of yourPasspon) ‘Other (Please give detail). Mont: Programme Tele: Yoar of Entry: For use by Middlesex University Mauritius Only paces ne an SS soy, see Month:Educational Qualifications - stato most recon is, ataching copes of cortfcatostranseripts whore possbl, For international ‘students these shoul be in both the orignal language and oficial English translation. Da not send eriginal certificates. ‘SGIGCENGCSE ORDINARY LEVEL RESULTS Name of inttuion Subjects Grade Division'Giass Date Stated & Awarded HSGIGCE ADVANCED LEVELINERNATIONAL BACCALAUREATE RESULTS Name of Institution ‘Subjects /Level Grado Dvision'Olass Dato Started & Awarded Name of insitution ‘Subjects Level Dato of Examination Other Qualifications ‘Anarcing Body Course(Progamene ‘Grade Achieved From »English Language Qualifications - if you frst language snot Engish, pase gv detals othe most rocont English language cew'se you have taken orintanded to take, and give the relevant grad/Scoe forall components. (Course Name Results Date Employment And Work Experience - Please pode details of ary periods of employment anor work excaionce you have Lndriakon inthe paste yeas Employers rare and Postion Held Biofautine | FulTme/Par Time | _Fromand To Adress of deta ‘ents | Year Personal Statement - Thore is no sot ormat fora porsonal statement. Consdar caretull the information you give to support your ‘aplication andthe best way to present effectvely. A personal statemantis your chance f el he univers why you are apoiying for this programme and why they should want youas student. n many eases, applicants ate not interviewed, so this may ba yout nly chance to make a case for your acnission. ‘Note: Pease write your personal statement on a separate shoe. References Please subrrit two referances. The first reerence should be academic and the second character relorance can be fem an emloyer ‘or other source. References shouldbe submited along wih completed covarsheets, on letter headed paper or cthamise oficially on- corso. References trom friends and family members will not be accepted. First Referee Second Referee Ful Name: FulName: PostiOccupaton:_________________Pestoeupation: odatonstip to Appicant ________________Reatfonstig to Applicant: Adds: Addross: Tal No: TaLNo: Ema: Ema:Declaration | nfm that the information given on this form is tue, complete an accurate. No information requested or ether material has been omitted, consent to the processing ofthis data by Migslesx Unversity under the provision ofthe 1998 Data Protection Act Any sato- ments on tis form, which prove to bo untrue or purposely misleading, wil ender the apnicaton wid, Furhermore i inaccuracies are highlighted at a ater stage we retain the right to retract any ofr made or expel he student with no refund of ees. Signed: Date: ‘Guidance Notes ‘How to write a personal statement ‘Tho personal statement helps us become better acquainted with you as an inctvidual, in way that are cron rom your school periormances es sores and objective data. You must be truthful and accurate in what you write. A good personal statement is important and should help to persuade an admissions offcero ofer you a place. is up to you what o write but we suggest you Include the following points: "Wy you have chosen the programmes you have sted "Wy do you want Bish Learning Experience and Bish qualification? "Wy eid you choose to study in Mauritius? "= Wat career plans you have for hen you complete your course? "Why do you boSove Midclasox University would be a good match or you? '=What would you considerto be the main benefits of studying at Midelesex? ‘How to write a reference "Who should wrt the eference? The parson who wites a reference ‘or you should knaw you well enough to write about you and to {judge if you are sud or higher education. Retaences fram fam, ther relatives and ends wll not be aocopted. The names and ‘adaresses ofthe referees are not enough. You shoul havea full wien reference, you ate at schoo! or callago, or you have onl lft econ, you should ask your Head Teacher, Prncialor an appropriate teachor ‘orttorto wrt this. you area mature student You shoud aka response person who knoms you. This could be your employer, traning ocor, or ateachor on a recent olvant further eduction course. ‘Guidance for referees: We would appreciate if you coud use your later headed pape. Please give an assessment che sultabty ‘ofthe appicant forthe higher education programame(s) thay have applied for and where possible, incude the folowing points. + Exétng achiovement, with pareuar reference to subjects relating tothe programme!) for which they have plied. += Potential including prosicted results or prformance ‘= Notvation and commmect toward the chosen course + Any rlovant sills whether cortfiod or not ‘Information about any spacial needs and other requirements Application Checklist lease remernbero enclose the following documents with your application fom ‘* Translated transcript of High School Leaving certificate’ Academic Qualifications + Acaderic and Character References * Name page copy of your Passport + ACopy of yur IELTSVTOEFL Cetfieateor equivalent English Language Quslesion Middlesex University Mauritius ‘Avenue Dogpnath Ramhul, Bonno Toro, Vacogs, Maurius “Te 4240454 059 +200 4652960, Emal: maurtusanpus@mdxme.com