JUDICIAL SERVICE COMMISSION

APPLICATION FOR EMPLOYMENT

INSTRUCTIONS FOR APPLICANTS

1. It is a serious offence under the Penal Code and other Statutes to willfully give false
information on this form.
2. All sections of this form must be completed by all applicants.
3. Do not apply for any post unless you possess all the qualifications given in the
advertisement.
4. Upload soft copies of your academic/ professional Certificates or testimonials.
5. If you are invited to an interview, bring the originals of your testimonials and
certificates with you, but make sure that they are returned to you before you leave.
6. Shortlisted candidates will be required to submit valid copies of clearance certificates
from the following bodies during the interview: - Kenya Revenue Authority, Higher
Education Loans Board, Directorate of Criminal Investigation, Ethics and Anti-
Corruption Commission, A recognized Credit Reference Bureau; and Clearance from
relevant professional body.
PART I: VACANCY DETAILS
A. VACANCY DETAILS
Position Applied for
Vacancy Number

PART II: APPLICANT’S BIO DATA

B. PERSONAL DETAILS
Title Mr
Name Maina Moses
Date of Birth (dd-mm-yyyy) 17/00/1999 Age 25Y, 11M & 16D
Gender Male
Nationality KE ID No. (Kenyans) 37339799
Home County (Kenyans) TRANS Ethnicity KIKUYU
Sub Ethnic Group
Passport Number Date of Issue Date of Expiry
Passport Details (dd-mm-yyyy) (dd-mm-yyyy)

Entry Permit (Non Permit No. Date of Issue Validity Period

Kenyans Living in Kenya) (dd-mm-yyyy) (dd-mm-yyyy)

Marital Status Single

Languages written and spoken
(R/W/S) Read speak Write
ENGLISH Yes NO NO
KISWAHILI YES NO
NO NO NO
Do you have any disability? NO
If yes, give details
NCPWD Certificate No. /Equivalent
C. PRESENT ADDRESS
Postal Address P. O. Box No. Code Town
17 Kitale
Physical Address mitume
Phone Number Primary Mobile No. Alternative No.
+254768857797 +254723101487
E-mail Address [email protected]

D. CURRENT EMPLOYMENT DETAILS (where applicable)

Current Employer
Sector of Employment
Substantive Post
Employment No.
Terms of Service
Current Gross Salary (KShs.) 0.00 Expected Salary (KShs.) 0.00

PART III: ACADEMIC AND PROFESSIONAL QUALIFICATIONS

E. ACADEMIC QUALIFICATIONS (Starting with The Highest)

Qualification (e.g. PhD, Area of Specialization (e.g. Grade University /High From To
Masters, Bachelors, Law, Sociology) /Class School (dd-mm- (dd-mm-
KCSE) yyyy) yyyy)
Diploma in Information Computer ict Pass ELDORET 01/01/2019 30/11/202
and Communication POLYTECHNI 3
Technology (ICT) C
KCSE kcse C- BOMA BOYS 04/02/2013 29/12/201
7

F. PROFESSIONAL/TECHNICAL QUALIFICATIONS/CERTIFICATIONS RELEVANT

TO THE POST (Starting with the Highest)
Qualification (e.g. Higher Area of Specialization (e.g. Grade/Class Institution From To
Diploma) Law, HRM) (dd-mm- (dd-mm-yyyy)
yyyy)

G. REGISTRATION/MEMBERSHIP TO PROFESSIONAL BODIES (Where applicable)

Professional Body (e.g. LSK, Membership or Date of Membership Type Status
ICPAK) Registration No. Admission (e.g. Associate, (Active/In
Full) active)

H. RELEVANT COURSES AND TRAININGS ATTENDED LASTING NOT LESS THAN

ONE (1) WEEK (starting with the latest excluding Certificate of Participation and
Attendance)
Name of the Course University/College/Institutio Duration
n
Relevant Name Course From To
(dd-mm-yyyy) (dd-mm-yyyy)
Introduction to data analysis 20/07/2024 30/08/2024

I. EMPLOYMENT DETAILS - WHERE APPLICABLE (Starting with the Current or Most

Recent)
Position Institution Employmen Start date End Period
t Sector (dd-mm- date (e.g. 9
(e.g. Public, yyyy) (dd- Years, 2
Private, mm- Months, 5
Corporate, yyyy) Days)
Academia)
PART IV: OTHER PERSONAL DETAILS
Have you ever been convicted of, or cautioned for, any criminal offence or
are any other proceedings pending against you?
If Yes, Please Give Details of the case and any penalty for each offence

Have you ever been dismissed or otherwise removed from the Judicial
service, Public Service or other engagement?
If Yes, Please Give Details

NOTE: The fact of an applicant declaring that he/she has been convicted of an offence or has
been removed from employment will not necessarily debar him/her from employment in the
Judicial Service. Each case will be considered on its merits having regard to the nature and
the circumstances of the offence.
J. OTHER ATTACHMENTS
Use this checklist to confirm that you have attached all documents that are required.
AP002536 ELDORET POLYTECHNIC -
MODULE 1_merged.pdf
AP002536 Introduction to data analysis -
129565-
16885981119037747201.pdf
AP002536 APPLICATION LETTER-
Moses_Maina_Macharia_Applicati
on_Letter.pdf
AP002536 COPY_OF_ID-ID 1.pdf

AP002536 CURRICULUM VITAE-

Moses_Maina_Macharia_CV
(2).pdf
AP002536 PASSPORT-
IMG_20250501_151847_874.jpg
AP002536 ACADEMIC-MODULE
1_merged.pdf

FINAL DECLARATION & SIGNATURE

I certify that the particulars given on this form are correct and understand that any
incorrect/misleading information may lead to disqualification/ legal action
Date Signature of Applicant
(dd-mm-yyyy) (Upload scanned signature)

PART V: CONFIDENTIAL REPORT (For Public Officers)

To be completed only by the applicant’s Head of Department/Supervisor.
a. I consider*/do not consider* that the applicant is qualified in terms of the advertisement.
b. I recommend*/do not recommend* him/her for the vacancy.
c. My reasons are as follows (to be completed in all cases):-

NOTE: *Delete the word that does not apply

DECLARATION BY HEAD OF DEPARTMENT/SUPERVISOR
I certify that to the best of my knowledge, the particulars in this form are correct.
Name
Designation
Department/Ministry

Date Signature
(dd-mm-yyyy)