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1.Personal Details

Surname:

Forename

National Identification Number

Address for correspondence

District of residence Select District Flacq Grand Port Moka Pamplemousses Plaines Wilhems Port Louis Rivière du Rempart Rivière Noire Rodrigues Savanne

Phone Number:

Mobile Number:

E-mail address (for all correspondences from HRDC):

Gender : Male Female

Date of Birth:

Are you currently unemployed? : Yes No

Please Select Course Name: Basic Course in Masonry, Rendering and TilingBasic Course in Carpentry for Formwork and ShutteringBar Bending and Steel FixingDraughtsmanshipDomestic Electrical Installation WorkFabrication of Aluminium OpeningsInstallation and Maintenance of Domestic Air ConditionersWeldingInstall, Maintain and Repair Domestic Plumbing Systems and Solar Water Heating Systems

2. Study Background

Please Select your educational level : Select Educational Level Below CPE CPE Form 1 Form 2 Form 3 Form 4 SC Lower Six HSC Diploma Degree

Please Select your level of language proficiency :

English: Elementary Intermediate Advanced

French: Elementary Intermediate Advanced

3. Work Experience

What was your previous occupation:

Please indicate your latest working experience
Years of experience	Sector

I ascertain that I am presently unemployed. I undertake to inform the HRDC immediately in writing in case my Employment status changes. I authorize sharing the above information for the purpose of the NTRS Please note that as per the requirements of the authorities (Government Gazette of Mauritius No.73 of 2 June 2021), all trainees aged 18 or above need to be vaccinated with Covid vaccine to have access to training centres.

AGREE & SUBMIT