Mauritius Examinations Syndicate
ENTRY FORM - UNIVERSITY OF LONDON MAY/JUNE 2020 EXAMINATIONS
*
are mandatory fields and need to be filled
1. Personal Details
Title
*
Mr
Mrs
Ms
Surname
(in Block Letters)
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Other Names
(as per Birth Certificate)
*
Student No
Gender
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Male
Female
Field of Study
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Programme Study
Date of Birth
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NIC No.
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Passport No.
Telephone Number
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Office Number
Mobile Number
Complete Address
*
(Any change of address should be notified to the MES immediately)
1.
2.
3.
Email address
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SN
Module Code
Module Name
Exam Date
1
2
3
4
5
6
7
8
9
10
2. Fees Details
LOCAL FEES
Rupees
Initial Fee
*
Examination day (s) at Rs 410 per day
TOTAL
NB:Please note that a late entry fee of
Rs 377
will be applicable if application is made after deadline date.
3. Declaration
*
I certify that the information I have given is correct.
Date :
