Application form - NYP 2025 - Mauritius National Assembly

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Mauritius National Assembly
National Youth Parliament 2025
Fourth Edition

APPLICATION FORM

Applicant Details

Title *Mr.Mrs.Miss

Gender *MaleFemale

First Name *

Last Name

Residential Address *

National Identity Number (NID) *

Date of Birth *

Age *

Nationality *

Mobile Number *0 / 8

Residence Number0 / 8

Office Number0 / 8

Email Address *

Responsible Party/Guardian

Name *

Mobile Number *0 / 8

Residence Number0 / 8

Relationship with Applicant *

Emergency Contact Details

Name *

Mobile Number *0 / 8

Residence Number0 / 8

Relationship with Applicant *

Status *StudentEmployedSelf EmployedOthers

Student Details

Academic Level *SecondaryTertiary

Name of Institution / College *

Grade / Level *

Level / Year

Course / Programme *

Contact Number of Institution / College *0 / 8

Employer Details

Organisation Name *

Organisation Address

Post Occupied by Applicant *

Self Employed Details

Occupation *

Address

Give details *

Educational Background (max: 600 characters) *0 / 600

Tell us about you (a brief idea about yourself, areas of interest and skills) (max: 1000 characters) *0 / 1000

What motivates you to participate (max: 1800 characters) *0 / 1800

What would you like to gain from this experience? (max: 1000 characters) *0 / 1000

Have you previously participated in a youth forum? *YesNo

Details of participation in youth forum *0 / 600

Are you currently / have you been previously engaged in any social / civic activity? *YesNo

Details of social / civic activity engaged? *0 / 600

Birth Certificate (.jpg | jpeg, .png, .tiff, .pdf) *Max 5 MB

No file chosen

You will receive an acknowledgment email once your application has been submitted!

Title

Mr. Mrs. Ms. Dr.

Surname

Name

National Identity Number

Date of Birth

Age

Nationality

Gender

Male Female

Residential Address

Mobile Number

Residential Phone Number

Email Address

Status

Student Employed Self Employed Others (Please specify and give details)

Academic Level

Secondary Tertiary

Educational Background (max: 600 characters)

Tell us about you (a brief idea about yourself, areas of interest and skills) (max: 1000 characters)

What motivates you to participate? (max: 1800 characters)

What would you like to gain from this experience? (max: 1000 characters)

Have you previously participated in a youth forum?

Yes No

Are you currently / have you previously engaged in any social activity?

Yes No

Passport size photo

Birth Certificate

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