JOB APPLICATION FORM

Application for employment as : Officer, Events & Admin

PERSONAL DETAILS

Name: KEI SEYOUO KOUDOU PAUL

Email: [email protected]
Home Address:Abidjan – Port-Bouët - Correspondence Address:
Gonzagueville

Telephone No: 00225 0707873320 Telephone No:

Date of Birth: Marital Status: Nationality: Passport / NRIC No:

24 – 05 – 1988 Married Ivorian 18AR49736

FAMILY DETAILS
Relationship Name Age Occupation
Spouse KONAN Mossia 32 Airport Security officer
Child KEI Famien Paul-Owen 6 Student
Child KEI Mylieh Iniyah 0 N/A

Next of Kin Details

Name: KONAN Mossia
Relationship: Spouse
Contact No: 00225 0709605793
EDUCATION
Highest Standard
Date
Name of School/ Institution/ Date Joined Passed
Graduated
College/ University (dd/mm/yy) (Certificate, Diploma,
(dd/mm/yy)
Degree/ Grade)
Université Félix 20/09/2010 15/06/2016 Master degree
Houphouet Boigny
d’Abidjan

Institut d’Etude Politique 10/09/2017 16/09/2019 Master degree

de Toulouse

OTHER ACADEMIC OR PROFESSIONAL QUALIFICATIONS (including training courses attended)

Date
Particulars
From To

PROFESSIONAL MEMBERSHIPS (Technical, professional or occupation training etc)

Name of Professional Body Membership Position Date Admitted

LANGUAGE PROFICIENCY
(state: fair, good, excellent) (state: fair, good, excellent)
Language/ Written
Oral Written
1) French Excellent Excellent

2) English Good Good

3) German Fair Fair

2
 EMPLOYMENT HISTORY
Please give details here of full-time jobs. Start with your present or most recent position.
Dates Name of employer,
address, nature of Job titles Reasons for leaving
From To business
Since National Social Cooperation and N/A
Sep. Security Fund institutional
2022 protocol officer
Av. Lamblin Plateau
01 BP 317 Abidjan 01

Social security
financial institution

Dec. Aug Public Affairs Africa Consultant Event A better offer with
2019 2022 Management greater working
47 Boulevard de flexibility.
Courcelles, 75008
Paris

Public Affairs;

Media,
communication;

Lobbying and
campaigning

Political council;

Public policy;

Nov Nov Technofy Stakeholder Back to my country

2018 2019 engagement
Cerdika center – consultant
Sofia

Technology
Aeronotique

April July Université Félix Administrative Goes to another

2014 2018 Houphouet Boigny assistant and event country for training
d’Abidjan manager

3
OTHER INFORMATION

Have you ever been discharged from any previous employment due to misconduct: If YES,
please state: NO

Is your spouse currently being employed as an expatriate? If YES, please state the country
where he/she is based as an expatriate: NO

Do you have any known health condition of any kind, which may affect your ability to
effectively carry out the functions and responsibilities of the position applied for? If YES,
please state: NO

Are you on any medication which may affect your performance in the position that you have
applied for? If YES, please state: NO

AFI reserves the right to request the successful candidate to undergo a medical check-
up upon request prior to offer of employment or at any time during employment.

DECLARATION

I declare that, to the best of my knowledge, the information given is true and correct. I
understand that inaccurate, misleading, or untrue statements or knowingly withheld
information may result in revocation of offer or termination of employment with AFI.

Signed Date 05/02/2024

KEI Seyouo Koudou Paul

4
 ALLIANCE FOR FINANCIAL INCLUSION (AFI)
CANDIDATE CONSENT FOR REFERENCE CHECK FORM (HR-R4)

I hereby authorize Alliance for Financial Inclusion (AFI) to contact the individuals listed below
for reference checks and consent to AFI conducting the necessary inquiries to verify my
education, work history, as well as any other information deemed necessary to determine my
suitability for the available positions, including but not limited to, the nature and duration of
my current/past employment, my work performance, as well as my conduct and attitude
during such employment. By submitting the personal information of the referees herein, I
declare that the said individuals are aware that they have been nominated as referees for the
purposes expressed above and they have accordingly expressed their consent to disclose their
personal information herein.

Reference 1

Name BOYOU LEGRE GILDAS

Position Deputy Director, Social Services Agency
Company CNPS
Contact No 00225 0505058282
Email Address [email protected]

Reference 2

Name Adébissi Djogan

Position Managing Director
Company Public Affairs Africa
Contact No
Email Address [email protected]

Reference 3

Name Koudou Landry

Position Head of département
Company Université Félix Houphouet Boigny
Contact No 00225 0150895002
Email Address [email protected]

Signature : Date : 05 – 02 - 2024

Name : KEI Seyouo Koudou Paul Passport / NRIC No 18AR49736