Mauritius Examinations Syndicate

Application for Statement of Laureates (Sidewise e.g Science Side, Arts Side etc...)

PLEASE READ THE INFORMATION BELOW BEFORE COMPLETING THIS FORM

  • A statement of Ranking is an official document issued by the Mauritius Examinations Syndicate showing the rank achieved by a candidate in a particular exam and year.
  • Statements of Rankings are issued on the name given for the candidate at the time of their entry for examination.
  • Please ensure that the exact information about the year and centre name is provided.
  • In case an application is made on behalf of a close relative (cousin, niece etc) a letter of authorisation should be uploaded.

Completing the Form

Fill inthe form in BLOCK CAPITAL letters.
Check that:
  • All the relevant fields are completed.
  • A photocopy of the candidate's identification showing his/her name and date of birth.

Acceptable forms of identification are:
  • A photocopy of the candidate's birth certificate or
  • A photocopy of the appropriate pages of the candidate's passport or
  • A photocopy of the candidate's Identity Card

* are mandatory fields and need to be filled

A. CANDIDATE INFORMATION

Surname (in Block Letters) *
Other Name (in Block Letters) *
Maiden Name (in Block Letters)
Date of Birth *
Gender * Male    Female
NIC (ID No.) *
Telephone Number *
Mobile Number *
Current Address *
Email address *
Passport No.

B. EXAMINATION

Exam Series * (e.g Nov 2016)
Name of Examination *
Candidate entered as Private candidate    School candidate
School Attended: (not applicable to private Candidate)
Index/ Candidate Number *
Scholarship Rank Order *
Side
Rank
Fees (Rs)

Please attach a copy of Birth Certificate/ID Card/Passport   (Max file size 3Mb)

C. THIS PART SHOULD BE FILLED IN IF THE APPLICATION IS NOT MADE BY THE CANDIDATE

  Please tick the checkbox if application is not being filled by candidate.
Title
Name of Applicant
Relation to candidate
NIC (ID No.)

Please attach a copy of your NIC (ID Card)/Letter of authorisation  (Max file size 2Mb)

D. RECIPIENT OF DOCUMENT

I authorise    NIC (ID No.)
  to collect the Statement of Ranking on my behalf.
I request the MES to send the Statement of Ranking by registered post.

E. DECLARATION

I certify that the information I have given is correct.
   
Date :