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Kilifi County Application For Employment Form »

The Fields marked in RED are Required!
1. Vacancy Applied For
Vacancy /Post:   Vacancy No:
2. Personal Details
Applicant Name:   Title:
Date of Birth   Gender
Nationality   ID /Passport No:
Employment/PNo: (For those serving in the County or National Government)
Address   Postal Code
County:
Subcounty: Ward:
Telephone:
Mobile: Email
Alternative Contact Person:   Telephone:
3. Other Details
Do you suffer from any physical impairement? (PWD)
If yes give details:  
Have you been convicted of any criminal offences or a subject of probation?
If Yes, State Reason(s) :   Effective Date
Have you ever been interviewed by Kilifi County Public Service Board before?
If Yes, State the Post:   Interview Date:
(Declaring the above information will not necessarily debar an applicant from employment in Public Service Board. Each case will be considered on its own merit)
 
4. Academic/Professional/Technical Qualifications (starting with the Highest)
Date From: Date To: University/ College/ Insitution/ School: Award/Attainment (eg. Degree, Diploma, Certificate) Courses (eg. PHD, MSC, BA): Subject (eg. Econ, Maths) Class/Grade:
Add Row           Delete Row 
5. Other Relevant Courses and Training/Registration/Membership to professional Bodies/Institution
Year: Institution/College: Course: Details
Add     Delete 
6. Employment Details (starting with the most recent)
Date From: Date To: Employer's Name Position/Rank/ Designation Job Group/ Gross Monthly Salary (Kshs)
Add Row        

7. Briefly state your current duties, responsibilities and assignments
 
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
9. Personal Referees
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
      
      
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
      
      
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
Human Verification