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Application - For - Employment - Form

1) The document is an application form for employment with the County Government of Uasin Gishu. 2) It requests personal details of the applicant such as name, date of birth, ID number, education history, professional qualifications, employment history, and a declaration signed by the applicant. 3) The form collects contact information, nationality, disability status if applicable, academic and professional qualifications, current membership in professional bodies, and employment details to assess eligibility for the position applied for.

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BRIAN CLIFF
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
45 views

Application - For - Employment - Form

1) The document is an application form for employment with the County Government of Uasin Gishu. 2) It requests personal details of the applicant such as name, date of birth, ID number, education history, professional qualifications, employment history, and a declaration signed by the applicant. 3) The form collects contact information, nationality, disability status if applicable, academic and professional qualifications, current membership in professional bodies, and employment details to assess eligibility for the position applied for.

Uploaded by

BRIAN CLIFF
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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COUNTY GOVERNMENT OF UASIN GISHU

U `

APPLICATION FOR EMPLOYMENT FORM


Please complete all sections of this form as appropriate in BLOCK letters and submit together with your
application

1. Vacancy Applied For

Vacancy: ………………………………………………………………………………………………………...
Department: ……………………………………………………………………………………………………..
2. Personal Details of the Applicant:

Name…………………………………………………………… ………………Title:……………………………
(Surname) (First Name) (Other Names) (Prof/Dr/Mr/Mrs/Miss/Ms/Rev)

Date of Birth:…………………………………...… ID NO. ………………………….…………………………...


(dd-mm-yyyy)

PIN No. …………………………………………..Gender: Male Female

Nationality:……………………..Ethnicity……….….……………Home County: …………...…………………

Sub-County:…………………………………Ward:………….…………………Location:………..…………….

Sub-Location………………………………….… Village: ………...…………………………………………….

Postal Address: ………………………Code: ………………………Town/City ………………………………..

Mobile No. …………………………….…E-Mail Address………………….……………………..…………….

Name of alternative contact person: ……………………….……………….Tel. No. …………………...………

Are you living with a disability? Yes No If yes give :

(i) Details/Nature of Disability……………………………………………………………………………….

(ii) NCPD Membership (Reg. No. and Date)………………………………………………………………….


3. Academic Qualifications (Starting with the highest)
University/High Award/Attainment Course/Programme Specialization/subject Class/Grade
Year School (e.g. Masters, (e.g. Phd,MSc,,BA, (e.g. Econ,Maths,
Bchechors, Degree, O’ level) Sociology etc)
KCSE)
From To

4. Professional/Technical Qualifications/Certificates Relevant to the post (Starting with the Highest)


Year Institution Award/Attainment Specialization/subject Class/Grade
(e.g Diploma, (e.g. Human Resource,
Certificate) Engineering, etc)
From To

5. Current Registration/Membership to Professional Bodies


Professional Body Membership/Registration Membership Type (e.g. Date of Renewal
Associate, Full etc)
No

6. Employment Details – Where applicable (starting with the current or most recent)
Year Designation/Position Job Group/ Scale Ministry/State
Department/Institution/Organization
From To
(dd- (dd-
mm- mm-
yyyy) yyyy)

7. Declaration
I certify that the particulars given on this form are correct and understand that any incorrect/misleading information may
lead to disqualification and or legal action.
Date: …………………………………………………. ………………………………….
(dd-mm-yyyy) Signature of the Applicant

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