THE EDUCATION ACT, 1957

THE SECOND SCHEDULE

(Form III Section 12)

APPLICATION FORM FOR REGISTRATION OF A RECTOR / DEPUTY RECTOR/ PRINCIPAL
OF A SCHOOL

DIRECTOR
PRIVATE SECONDARY SCHOOLS AUTHORITY
BEAU BASSIN

Date : ……………………………………….….………………

School : ……………………………………………………………………………………………..…
Address : ………………………………………………………………………………….………….
1 I submit particulars of myself and request you to register me as Rector/Deputy Rector/Principal of the abovementioned school.

2 *Particulars –

(a) Name : ……………………………………………………………………….………….…….…
(b) Address : …………………………………………………………………………………..….……
(c) Date of Birth : ……………………………………………………………………………..………….…
(d) Occupation : …………………………………………………………………………..…….…………
(e) Educational Qualifications : ……………….…………………………………………………………..………….….
(f) Experience in or knowledge of educational matters ………………………………………………..……………….
(g) Special interest in the abovementioned school ………………………………………………………..……….……. ………………………………………………………………………………………………..………………………….

3 *The following persons may be referred to, as to my character and suitability to become a Rector/Deputy Rector/
Principal

(a) Name : ……………………………………………………………………..……………………
Address : …………………………………………………………………..………………………
(b) Name : ………………………………………………………………..…………………………
Address : ……………………………………………………………………………..……………
……………..…………………………..…………………………..
Signature of Applicant
* We declare that the applicant –
*

(a) is resident in Mauritius
(b) is a person of good character
(c) is able to carry out the duties of Rector/Deputy Rector/Principal …………………………..………………….……..
school, and he is familiar with the provisions of the Education Act, 1957, and the regulations issued thereunder.

The contents of this application are true to the best of our knowledge, information and belief.

Signed ……………………………………………………………………..……….…

Signed……………………………………………………………………..…….………

*Two referees are required. They must be persons of standing.
* If applicant has been convicted of a crime or offence involving fraud or dishonesty the full circumstances
must be disclosed.
* Insert the name of the school of which applicant desires to become Rector or Deputy Rector or Principal
*