Form - Application For Employment.2021 1
Form - Application For Employment.2021 1
Form - Application For Employment.2021 1
Date of Birth ID/PP No. KRA Pin No Nationality Home County Gender
(DD/MM/YYYY
)
Are You Living with Disability? If Yes State Registration Number & Nature of Disability
Date with National Council For
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(Yes/No) Persons With Disability
Yes No.
If yes, state the nature of offence, the year and duration of conviction
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Yes No
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Effective date……………………………………………………………………………………………………………………………….
(Declaring the above information will not necessarily debar an applicant from employment in NEMA. Each
case will be considered in its own merit)
FROM TO
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5. Professional/Technical/Certifications Relevant to the post (Starting With The Highest)
FROM TO
6. Relevant Courses And Training Lasting Not Less Than One (1) Week
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7. Current Registration/Membership to professional Bodies
Professional Body Membership/Registration Membership type (e.g. Date of
No. Associate, Full etc.) Renewal
8. Employment Details – Where applicable (starting with the current or most recent)
Year Designation/Position Job Group/Grade/scale Institution/Organization
Gross Monthly Salary (Kshs.)
9. Briefly state your current duties, responsibilities and assignments (if any)
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10. Please give details of your abilities, skills and experience which you consider relevant to the
position applied for. This information may include an outline of your recent achievements and your
reason for applying for this post.
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Occupation ……………………………………………………………………………………………………………………………………
Occupation ……………………………………………………………………………………………………………………………………
Occupation ……………………………………………………………………………………………………………………………………
12. 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.
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