La Tour Koenig

Pointe-aux-Sables
Republic of Mauritius
Tel: (230) 234 7624
Fax: (230) 234 6727

September 2006

APPLICATION FORM FOR APPOINTMENT OF LECTURERS AND SENIOR LECTURERS

Name of Applicant: ...……………………………………………………………(surname in CAPITALS)

Date of Birth: ……………………………………………………………………………………..…………..
Current Title: Mr/Miss/Mrs/Ms/Dr (ring as appropriate)
Nationality: ………………………………… Country of Passport: ………………………..……………….
Languages: Spoken: ...………………………………………………………………..…………………...
Written: ……………………………………………………………….……………………...

Post applied for (tick the box):

For Bachelor graduates with a Masters degree

Lecturer 
For Bachelor graduates with a PhD or Doctorate

Lecturer  Senior Lecturer 

Subject field:…………...…………………………………………………………..…………………………
Academic qualifications: ……………………………………………………….……………………………
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Professional qualifications: ………………………………………………..…………………………………
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Postal Address: ……………………………………………………….……………………………………...
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Tel. No. (Work): …………………………..………………. Email: ……………………………………….
(Home): …………………………………………….

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Name of current employer: …..………………………………………………………………………………
Position held: …………………………………………………………………………………………………
Current remuneration: ……...….……………………………………………………. (per month/per year)
Additional benefits: …….……………………………………………………………. (per month/per year)
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Employer’s pension contribution: …………………………………………………… (per month/per year)
Annual leave: ……………………………………..………………………………………………………..
………………………………………………………………………………………………………… days
Other benefits: …………………………………………………………..……………………………………
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Start date of current contract: ………………………………………………..……………………………….
Expiry date of current contract: …………………………………………………..…………………………..
Notice period to be given ……………………………………………………………..……………………...

Any typical periods, Monday to Friday, when applicants would not be available for interview.
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Signature of Applicant Date
The closing date for completed applications is ……………….
Applications for Lecturer/Senior Lecturer posts should be posted to:

The Director General

University of Technology, Mauritius
La Tour Koenig
Pointe-aux-Sables
Email: director@utm.intnet.mu
Envelopes should be marked “Lecturer/Senior Lecturer”.

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