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    New Staff Entry Assessment form-EURO WATER PROJECT

    Uploaded by

    Sospeter Nyakutaba
    This document contains a new staff entry assessment form for Bakari Hamisi Mlenzi, who is applying for the position of Finance Officer. The form collects personal details, references, languages spoken, availability to start, and asks if he has ever been arrested or convicted of a crime. Mlenzi provides his address, contact information, the names and details of two referees, indicates he does not require a work permit and does not have any limitations on travel or work. He confirms the information provided is true and acknowledges the information may be used in accordance with Euro Water Project's confidentiality policy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    New Staff Entry Assessment form-EURO WATER PROJECT

    Uploaded by

    Sospeter Nyakutaba
    58 views3 pages
    This document contains a new staff entry assessment form for Bakari Hamisi Mlenzi, who is applying for the position of Finance Officer. The form collects personal details, references, languages spoken, availability to start, and asks if he has ever been arrested or convicted of a crime. Mlenzi provides his address, contact information, the names and details of two referees, indicates he does not require a work permit and does not have any limitations on travel or work. He confirms the information provided is true and acknowledges the information may be used in accordance with Euro Water Project's confidentiality policy.

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    New staff entry assessment form-EURO WATER PROJECT

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    This document contains a new staff entry assessment form for Bakari Hamisi Mlenzi, who is applying for the position of Finance Officer. The form collects personal details, references, languages spoken, availability to start, and asks if he has ever been arrested or convicted of a crime. Mlenzi provides his address, contact information, the names and details of two referees, indicates he does not require a work permit and does not have any limitations on travel or work. He confirms the information provided is true and acknowledges the information may be used in accordance with Euro Water Project's confidentiality policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views3 pages

    New Staff Entry Assessment form-EURO WATER PROJECT

    Uploaded by

    Sospeter Nyakutaba
    This document contains a new staff entry assessment form for Bakari Hamisi Mlenzi, who is applying for the position of Finance Officer. The form collects personal details, references, languages spoken, availability to start, and asks if he has ever been arrested or convicted of a crime. Mlenzi provides his address, contact information, the names and details of two referees, indicates he does not require a work permit and does not have any limitations on travel or work. He confirms the information provided is true and acknowledges the information may be used in accordance with Euro Water Project's confidentiality policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    eurowaterproject.

    org
    New Staff Entry Assessment Form 2022

    INSTRUCTIONS

    Please answer each question clearly and


    completely.

    To tick ‘yes or no’ double click on the box


    and select check box on the dialog box
    and click OK

    Surname: Mlenzi Title: Finance Officer

    Other names: Bakari Hamisi


    Address: P.O.BOX 32910, Sinza, Dar es
    Tel:(home) 0719 99 40 99
    Salaam, Tanzania.
    Tel:(mobile) 0719 99 40 99

    Tel:(work) 0719 99 40 99
    (Discretion will be used if we contact you
    at work)
    Do you require a work permit? Yes No
    Fax/email: [email protected]

    References
    Please give the name and address of two referees. One should be your most recent work
    colleague.

    Name: DonoDigna Sumari Name: Revocatus Kitteka


    Position: Head of Operations and
    Position: Finance & Admin Manager
    Institutional Systems Developments
    Organization: KNCV Tuberculosis
    Organization: UMATI
    Foundation
    Address: P.O.BOX 11013 Dar es Salaam Address P.O.BOX 1372 Dar es Salaam

    Telephone: 0754 24 03 93 Telephone 0754 22 20 75

    Email: [email protected] Email [email protected]


    May we contact this referee: May we contact this referee:
    Prior to your offer? Yes No Prior to your offer? Yes No
    Prior to your interview? Yes No Prior to your interview? Yes No

    Service with Euro Water Project might require assignment to any area of the world we
    have responsibilities.

    (a) Are there any limitations on your ability to perform in your prospective field of
    work? YES NO
    (b) Are there any limitations on your ability to engage in all travel? YES
    NO

    .
    Do you have any dependent children? YES NO If the answer is “yes”, give the
    following information:

    Name of child Date of Birth

    1. Zaituni Mlenzi 03 June 2018

    2.

    Languages – written and spoken


    Written Spoken
    level of fluency level of fluency
    1. English Basic Advanced Basic Advanced

    2. Kiswahili Basic Advanced Basic Advanced

    3. French Basic Advanced Basic Advanced

    4. Arabic Basic Advanced Basic Advanced

    1. Do you have a Certified Criteria Cognitive Report (CCCR) from an independent


    invigilator YES NO

    2. If yes, what was your total score ……………………( Please fill below the Name
    & Contacts of the CCCR Invigilators)
    3. Name……………………… Telephone …..………………………………
    email……………………………………………………………………..

    4. If NO to (2) above, can you get certified within 3 working days from an
    approved CCR certification centre YES NO

    If offered the position how soon can you commence your duties: 01st September 2022.

    HAVE YOU EVER BEEN ARRESTED, INDICTED, OR SUMMONED INTO COURT AS


    A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVICTED, FINED OR
    IMPRISONED FOR THE VIOLATION OF ANY LAW (excluding minor traffic
    violations)? YES NO
    I confirm that the information given on this form is, to the best of my knowledge, true
    and complete. Any false statement may be sufficient cause for rejection or, if employed,
    dismissal.
    The information you provide on this form will only be used in accordance with the
    principles of Euro Water Project’s confidentiality policy. If you are appointed, it will
    form the basis of your personal record.
    Full Names: Bakari Hamisi Mlenzi Date: 19.08.2022

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