REPUBLIC OF MAURITIUS

MINISTRY OF EDUCATION AND HUMAN RESOURCES,

TERTIARY EDUCATION AND SCIENTIFIC RESEARCH

Application Form
Mauritius-Africa Scholarship

2018 Edition

For Office Use Only

Reference Number

Received on

Received by

Mauritius-Africa Scholarship Scheme 2018 Page 1 of 10

 MAURITIUS-AFRICA SCHOLARSHIP
The Government of Mauritius is awarding scholarships to deserving students who are
resident citizens of member states of the African Union or of an African Commonwealth
country to pursue higher studies in a registered public Higher Education Institution (HEI)
in Mauritius.

The duly completed application form should be submitted through the Nominating Agency
of the respective countries. A list of Nominating Agencies can be found on the website of
this Ministry at
http://ministry-education.govmu.org/English/educationsector/Pages/Tertiary-Education.aspx

No direct application to the Mauritian Ministry of Education & Human Resources,

Tertiary Education & Scientific Research will be entertained.

APPLICATION CHECKLIST

Application Form (Sections 1 to 6) duly filled

Copy of Birth Certificate

Copy of biodata page of passport, if available

Copies of endof secondary school level educational certificates (e.g A level/

Baccalaureate..)

Copies of transcripts of end of secondary school results

Endorsement by Nominating Agency (Section 5)

Medical certificate filled and signed by a Registered Medical Practitioner (Section 6)

Copy of letter of conditional offer by a public higher education institution in Mauritius OR

copy of acknowledgement notice from the HEI

ORIGINAL DOCUMENTS SHOULD NOT BE SENT WITH THE APPLICATION FORM

Further information
A list of the registered public HEIs offering full-time on-campus higher education
programmes can be found at Section 8 of the Guidelines for Applicants or from the website
of Tertiary Education Commission http://www.tec.mu/public_institutions

Mauritius-Africa Scholarship Scheme 2018 Page 2 of 10

 SECTION ONE: PERSONAL INFORMATION
Your family name and other names should be the same as the official names
on your passport or birth certificate.
Attach a recent
First Name(s)
passport sized
(in BLOCK letters)
photograph of
yourself
Family Name
(Surname)
(in BLOCK letters)

 MALE  FEMALE Date of Birth

Gender
(dd/mm/yyyy)
Place of Birth

Country of citizenship Please list second

country if you have
2nd Country of dual citizenship
citizenship
Passport expiry
Passport Number date
(dd/mm/yyyy)

Indicate whether you suffer from any illness or disability that might affect your
ability to participate in the proposed study programme (e.g. epilepsy, asthma,
diabetes, significant visual impairment, motor disability or significant hearing
 YES
loss, etc.)
 NO
A ‘YES’ answer will not affect your chances of obtaining a scholarship.

If you have answered ‘YES’, provide brief details of the illness or disability and any special
requirements or support you may require to complete your programme of study on a separate sheet
of paper. Please attach a copy of your doctor’s assessment of your needs.

YOUR CONTACT DETAILS

Please provide an address at which the outcome of this application can be communicated to you.

Full Address
(in BLOCK letters)

Home Phone Number +

(including country code)
Mobile Phone Number +
(including country code)

Email Address

Mauritius-Africa Scholarship Scheme 2018 Page 3 of 10

 DETAILS OF GUARDIAN IN YOUR COUNTRY OF CITIZENSHIP
Name
(in BLOCK letters)

Relationship to you
(in BLOCK letters)
Occupation
(in BLOCK letters)
Nationality
(in BLOCK letters)

Full Address
(in BLOCK letters)

Home Phone Number +

(including country code)
Mobile Phone Number +
(including country code)
Email Address

EMERGENCY CONTACT DETAILS

Person to be contacted in case of emergency, if different from the above.

Name
(in BLOCK letters)

Relationship to you
(in BLOCK letters)

Full Address
(in BLOCK letters)

Home Phone Number +

(including country code)
Mobile Phone Number +
(including country code)
Email Address

LANGUAGE PROFICIENCY
(please tick where appropriate)
ENGLISH FRENCH

Written  Good  Fair  Poor  Good  Fair  Poor

Spoken  Good  Fair  Poor  Good  Fair  Poor

Have you ever taken a TOEFL or IELTS (for English) or DILF/DELF/ DALF (for French) test?
If YES, provide date and score (attach documentary evidence).

Mauritius-Africa Scholarship Scheme 2018 Page 4 of 10

 SECTION TWO: DETAILS OF ACADEMIC QUALIFICATIONS

Certified copies of academic qualifications, together with the mark sheets, must be provided. The
most recently completed qualification is to be listed first.

State qualification obtained at end of Secondary School Level and the Awarding Body
(eg Higher School Certificate/ Cambridge CIE, GCE Advanced Level/ Cambridge CIE, Baccalaureate/ IB
Geneva.., etc):
Qualification: ……………………………………………………/ Awarding Body: ………………………………
SUBJECTS GRADES/MARKS

Name of
Institution

Address of
Institution

Start Date End Date

(mm/yyyy) (mm/yyyy)
State other Qualifications obtained at Secondary Level and the Awarding Body
(eg School Certificate/ Cambridge CIE , GCE Ordinary Level/Cambridge CIE , GCSE/ Edexcel, Diplôme
National du Brevet/NCFE.., etc):

Qualification: ……………………………………………………/ Awarding Body: ………………………………

SUBJECTS GRADES/MARKS

Name of
Institution

Address of
Institution

Start Date End Date

(mm/yyyy) (mm/yyyy)

Mauritius-Africa Scholarship Scheme 2018 Page 5 of 10

 State qualification obtained after Secondary School and the Awarding Body (if any):

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

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

Name of
Institution

Address of
Institution

Start Date End Date

(mm/yyyy) (mm/yyyy)
State qualification obtained at Technical and Vocational Level (attach additional sheets if
required):

………………………………………………………………………………………………………………………………

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

………………………………………………………………………………………………………………………………

Name of
Institution

Address of
Institution
Start Date End Date
(mm/yyyy) (mm/yyyy)

List details of relevant academic

distinctions or prizes received, if
any.

List any scholarships previously

received, if any.
(Provide details such as duration of
the scholarship(s), the qualification
or course undertaken, and the date
completed.)

Mauritius-Africa Scholarship Scheme 2018 Page 6 of 10

 SECTION THREE: PROPOSED COURSE OF STUDY
Provide details of the public Higher Education Institution(s) and programme(s) of study you have
applied for in Mauritius.

Copy of a letter of offer or acknowledgement notice from the public Higher Education Institution(s)
must accompany this application. The information below must match the information in the
correspondence from the Higher Education Institution(s).

NAME OF
HIGHER
PROGRAMME OF STUDY COURSE CODE
EDUCATION
INSTITUTION

Mauritius-Africa Scholarship Scheme 2018 Page 7 of 10

 SECTION FOUR: DECLARATION

CONDITIONS OF THE SCHOLARSHIP

If I am awarded a scholarship under the Mauritius-Africa Scholarship Scheme, I agree that
the scholarship may be terminated if I do not comply with the conditions attached to it. I will
also abide by the ‘Guidelines for Applicants’ and understand that I:

 will be eligible for tuition fees (paid directly to the HEI) as per grid below;

SN Beneficiaries from Applicable Rate Tuition Fee

paid up to
1 SADC Countries Local Fees MUR100,000
2 Non-SADC Countries International Fees MUR160,000*
(as at 08 January 2018, 1 USD = MUR 33.10)

 will be eligible for an assistance to meet living expenses of not more than
MU8,300 monthly;
 will be eligible for refund of the student airfare (economy class) by the most
economical route to Mauritius at the start, and airfare to my home country upon
successful completion of studies;
 will accept the scholarship only for the approved study programme for which it is
offered and that no changes whatsoever will be allowed;
 will comply with the rules and regulations of the Higher Education Institution;
 will agree to the disclosure of information pertaining to my academic progress to
the relevant Mauritian authorities for administrative purposes;
 will have to comply with all the laws of Mauritius, including immigration laws, and
I will be solely responsible for my actions; and
 will leave Mauritius at the end of my studies.

DECLARATION
This section must be completed and signed by the applicant.
Note that incomplete, inadequate or inaccurate filling of the form may result in the
applicant’s elimination from consideration. Any false information given or
concealment of any relevant information may lead to termination of the scholarship.

I, ……………………………………………………………………………………(full name), the

undersigned, declare that the particulars in this application are true and accurate, and that
I have not willfully suppressed any material fact.

Date: ………………………… Signature: ……………………………..

Mauritius-Africa Scholarship Scheme 2018 Page 8 of 10

 SECTION FIVE: NOMINATING AGENCY ENDORSEMENT
This section is to be completed by an authorised officer of the Nominating Agency in the country of
citizenship of the applicant.

As the Nominating Agency on behalf of the Government in the country of origin of the applicant,

I nominate (fill in Name of Applicant):

for a Mauritius-Africa Scholarship on behalf of the Government of: (fill in Country name)

Name of Authorising
Officer

Name of Official
Nominating Agency
(e.g Ministry of
Education)

Position

Email

Website (if any)

Signature

Date …….../ ………./……………… dd/mm/yyyy

Official Stamp/Seal

Mauritius-Africa Scholarship Scheme 2018 Page 9 of 10

 SECTION SIX: MEDICAL CERTIFICATE
(To be filled by a Registered Medical Practitioner)

1. PERSONAL DETAILS OF CANDIDATE

Surname
Other Names
Date of Birth Gender
Nationality Passport No.
Occupation

2. MEDICAL EXAMINATION
General Medical
Examination
Cardiovascular System
Respiratory System
Alimentary System
Urinary System
Central Nervous System
Past Medical History
(please give details, if any)
Any Others
(Please give details, if any)

3. ADDITIONAL REMARKS OR INVESTIGATIONS, (IF ANY)

4. DECLARATION

I hereby declare that this applicant is NOT suffering from any infectious or
communicable disease.
SEAL OF
Full Name of Doctor
DOCTOR OR

Address (City and MEDICAL

Country)
INSTITUTION
Tel No. Fax No.

Email

Signature Date

Mauritius-Africa Scholarship Scheme 2018 Page 10 of 10