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Mks CPSB Job Application Form 2022

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197 views

Mks CPSB Job Application Form 2022

Uploaded by

n8brjz5n8z
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MCPSB.

2022

REPUBLIC OF KENYA

GOVERNMENT OF MACHAKOS COUNTY

COUNTY PUBLIC SERVICE BOARD


EMPLOYMENT APPLICATION FORM
Instructions

Please fill this form clearly and completely

1. Vacancy Applied

Vacancy/Post:………………………………………………………………………………………………………………………………………..……………………………………………….……………………..

Department: …………………………………………………………………………………………………………………………………………………………………………………………………………………

2. Personal Details

Name of applicant: ……………………………….………………………. …………..………….…..……..…………………….. ………………………………………………………………...


(Surname) First Name Other Name(s):
Title: ……………………
(Mr./Mrs./Miss/Ms.)

Date of Birth: …………………………….…………….………..…. Gender: Male Female


(DD-MM-YYYY)
Nationality: ……………………..………………… ID No/Passport No: ……………………… Employment/PNo: …………………………..…..…………………

Address: …………………………………………… Postal Code: ………..………………………..

Home County: ………………………………... Sub County: ……………………………………. Ward: .…………………………….………….…………..........................

Telephone: …………………………………… Mobile: ………………………………………… E-mail address: ………………….…….………………….….............

Alternative contact person: ……….………………........................................................... Telephone: ………………………………………………………………………..……………

3. Other Details

Indicate the language(s) you are proficient in……………………………………………………………………………………………………………………………………………………

Do you suffer from any physical impairment? Yes No

If yes, give details:……………………………………………………………………….……………………………………...……………………………….…………………………………………….

Have you ever been convicted of any criminal offences or a subject of probation order? Yes No

Have you ever been dismissed or otherwise removed from employment? Yes No

If Yes, State reason (s) for dismissal/removal…………………..…………………………………………………….…. effective date………………………………..…………..


(DD-MM-YYYY)
4. Academic /Professional/Technical Qualifications (Starting with the Highest)

Year Institution/School Award/Attained Courses


From To (e.g. Certificate/Grade)

5. Other Relevant Courses and Training /Registration/Membership to Professional Bodies/Institution Relevant


Courses and Training /Registration/Membership to Bodies/Institution
Year Institution/College Courses Details

6. Employment Details (starting with the most recent)

Year Employer’s Name Position/ Job Group / Gross Monthly


From To Rank/Designat ion Salary(Kshs.)
7. Briefly state your current duties, responsibilities and assignments
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8. Please give details of your abilities, skills and experience which you consider are relevant to the position applied for. The information
may include an outline of your most recent achievements and your reasons for applying
……………………………………………………………………………………………………………………………………………………………………………………………………………………………….
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Personal References
The names of distinguished persons, relatives and names of members of staff of the Machakos County Public Service Board should not be used.

1. Full Name:……………………………………………………………………………..………………………………………………………………………..…..…………………………………………..
Address:…………………………………………………………………………………………..………………………………………………………………….………………………………………….

Telephone No: ……………………………………………………...…………… E-mail address:……………………………………………………………....................................................


Occupation:…………………………………………………………………..…………………………...…………………………………………………………………….…………………………….
Period for which he/she has known you: ………………………………………………………..……………………………………………………………………………………………………
2. Full Name:…………………………………………………………………………………..……..……………………………………………………………………………..……………………………..
Address:…………………………………………………………………………………………..……………………………………………………………………………………………………………..
Telephone No: …………………………………………,,,,,,,,,,,,………………… E-mail address:…,,,,…………………………………………………….....................................................

Occupation:…………………………………………………………………………………...……………………………,,,,,,,,,,,,,,,……………………………………….…………………………….
Period for which he/she has known you: ………………………………………..……………………………….…………………………………………………………………………………

Declaration:

I hereby certify to the best of my knowledge that the particulars given on this form are correct and I understand that any incorrect
information may lead to disqualification/legal action.

Date: ………………………………………….. ………………………………………..


(DD-MM-YYYY) Signature of the Applicant

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