PSC.
2 REVISED 2007
REPUBLIC OF KENYA
PUBLIC SERVICE COMMISSION OF KENYA
APPLICATION FOR EMPLOYMENT FORM
Please complete this form in BLOCK letters as appropriate and submit to the Secretary, Public Service Commission of Kenya,
P.O.BOX 30095, 00100 NAIROBI, KENYA, or apply On-line via the Commissions Website www.publicservice.go.ke or
www.psckjobs.go.ke
1. Vacancy Applied For
Vacancy/Post: ..Vacancy No:.
Ministry/Local Authority:.....Department:......
2. Personal Details
Name of applicant: .. ....... Title:
(Surname)
First Name
Other Name(s):
(Prof/Dr/Mr/Mrs/Miss/Ms/Rev)
Date of Birth:..... Gender: Male
Female
(dd-mm-yyyy)
Nationality:ID No/Passport No:Employment/PNo:......
Address:Postal Code:....
Home District:..Division:.Constituency:.......
Telephone:Mobile:E-mail address:......
Alternative contact person:.....................Telephone:...
3. Applicants in the Public Service only
Ministry/Department/Local Authority/Other Public Institutions:......Station:...
Present Substantive Post:Job group: effective date:...
(dd-mm-yyyy)
Upgrading (if applicable) post:.effective date:.
(dd-mm-yyyy)
Terms of Service:
Permanent & Pensionable
Contract
Temporary
4. Applicants in Private/NGO/ Other Sectors
Current employer:Position held:.effective date:..
(dd-mm-yyyy)
Salary (monthly) Ksh..
5. Other Details
Indicate the language(s) you are proficient in...
Do you suffer from any physical impairment? Yes
No
If yes give details:.....
Have you ever been convicted of any criminal offences or a subject of probation order? Yes
Our Tel:
No
+254-020-2227471-5, 2788000, Fax: +254-20-2214791, e-mail: psck@publicservice.go.ke
Have you ever been dismissed or otherwise removed from employment?
Yes
No
If Yes, State reason (s) for dismissal/removal....effective date
(dd-mm-yyyy)
Have you ever been interviewed by Public Service Commission of Kenya before? Yes
No
If Yes, State the Post: Interview date:....
(Declaring the above information will not necessarily debar an applicant from employment in Public Service. Each case will be considered on its
own merit)
6 Academic /Professional/Technical Qualifications (Starting with the Highest)
Year
From
University/College/
Institution/School
Award/Attainment
(e.g Degree,
Diploma,
Certificate)
Courses
(e.g PhD, Msc, BA)
Subject
(Econ,Maths e.t.c)
Class/Grade
To
7. Other Relevant Courses and Training /Registration/Membership to Professional Bodies/Institution
Year
Institution/College
Our Tel:
Courses
Details
+254-020-2227471-5, 2788000, Fax: +254-20-2214791, e-mail: psck@publicservice.go.ke
8. Employment Details (starting with the most recent)
Year
From
Employers Name
Position/
Rank/Designation/
Job Group/Gross Monthly Salary
(Ksh.)
To
9. Briefly state your current duties, responsibilities and assignments ..
.......
....
....
10. 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......
...
...
...
11. Personal References
The names of distinguished persons should not be used unless they really know you well; the names of relatives or of those from whom you send
testimonials should not be used. The names of members or staff of the Public Service Commission of Kenya should also not be used.
1. Full Name:..
Address:.....
Telephone No: E-mail address:..............
Occupation:....
Period for which he/she has known you:...
2. Full Name:..
Address:.....
Telephone No:. E-mail address:.
Occupation:....
Period for which he/she has known you:..
Declaration:
I hereby certify to the best of my knowledge that the particulars given on this form are correct and I understand that any incorrect information may
lead to disqualification/legal action.
Date: .
(dd-mm-yyyy)
..
Signature of the Applicant
Our Tel:
+254-020-2227471-5, 2788000, Fax: +254-20-2214791, e-mail: psck@publicservice.go.ke
