REPUBLIC OF CAMEROON Paix - Travail - Patrie UNIVERSITE DE NGAOUNDERE ECOLE DES SCIENCES ET DE MEDECINE VETERINAIRE E-mail: ecoleveterinaireun@gmail.com REPUBLIC OF CAMEROON Peace - Work - Fatherland THE UNIVERSITY OF NGAOUNDERE SCHOOL OF VETERINARY MEDICINE AND SCIENCES E-mail: ecoleveterinaireun@gmail.com PHOTO 4x4
APPLICATION FORM
COMPETITIVE ENTRANCE EXAMINATION FOR ADMISSION IN LEVEL ONE OF THE SCHOOL OF VETERINARY MEDICINE AND SCIENCES FOR 2020/2021 ACADEMIC YEAR (SVMS) (CYCLE OF VETERINARY DOCTORS)
CANDIDATE IDENTITY:
Name: ... First Name(s) ... Date of birth (1): ... Place of birth: ... Nationalité : ... Place of Résidence : ... Phone number(s): ... Candidate status: Salary owner: Yes ☐ ... No ☐ ... Married: Yes ☐ ... No ☐ ...
PARENTS IDENTITY:
Father’s name: ... Father’s first name(s): ... Father’s profession: ... Tel.: ... Father’s Region: ... Father’s Division: ... Father’s Subdivision: ... Mother’s name: ... Mother’s first name(s): ... Mother’s profession: ... Tel.: ...
SCHOOL CURSUS OF THE CANDIDATE (2):
| Attended Schools | School years | Certificates Obtained |
|---|---|---|
(1) Candidates should be twenty six (26) years old maximum on December 31st 2020 (2) Just indicate exam’s classes, school years and graduation diplomas or certificates obtained
EXAMINATION CENTER OF THE CANDIDATE (3):
BUEA ☐ DSCHANG ☐ NGAOUNDERE ☐ YAOUNDE ☐ MAROUA ☐
Candidate Composition file:
- An individual application form to be stamped by the candidate with 1000 FCFA fiscal stamp;
- Four recent passport size photographs 4 x 4 (write your name behind);
- One certified true photocopy of birth certificate (issued no more than three (03) months old);
- One certified true photocopy of GCE A/L certificate, Baccalauréat (Scientific Series) or an equivalent certificate;
- Certified photocopies of Baccalauréat and Probatoire transcripts or GCE A and O/ level result slips;
- One medical certificate signed by a Government Medical Doctor certifying the readiness of the Candidate for the field work and sport practicing;
- A receipt upon payment of twenty thousand (20.000) FCFA as registration fees paid into the bank account number 01207980601/11 in ECOBANK or through Express Union or Express Exchange to ESMV (University of Ngaoundere);
- A large envelope (A4 size) stamped and the amount of the stamp should correspond to weight of the content document in the envelope (precise the P.O BOX and the place of residence on the envelope).
(N.B): The photocopy of the bank receipt (Ecobank, express union or express exchange) must be shown in the examination hall;
Other persons to be notified in case of Emergency
Name and First name: ... Address: ... Tel.: ...
By my signature, I certified that, to the best of my knowledge, the information’s provided in my application file is accurate.
Done in: ... On ...
Candidate signature