APPLICATION FORM FOR EMPLOYMENT

Please complete all sections of this form as appropriate in BLOCK letters and submit to the Auditor - General, using the email address
provided. (Attach copies of certificates and testimonials as indicated in each case).

1. Vacancy Applied For

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Vacancy/Post: ………………………………………………………………………………………...Grade..................................................

Advertisement No………………....

2. Personal Details of the Applicant

Name: ……………………………….…......……….…………. …..……..… ……………………………… ...... Title…………………

(Surname) First Name Other Name(s): (Prof/Dr/Mr/Mrs/Miss/Ms/Rev)

Date of Birth...........................................ID No……………………….. PIN.NO. ...................................Gender: Male Female

(dd-mm-yyyy)

Nationality………………………………..............Ethnicity ................................................ Home County…………………………

Sub County ............................................................................................Constituency: .................................................................................

Postal Address:…………………………………………… Code:………………………………….. Town/City: ……………………......

.

Telephone No:……………………………………Mobile No:………………………………E-mail address:…………......…….…….

Name of alternative contact person:……….………………......................................................Telephone No:……………………………...

Are you living with a disability? Yes No

If yes, give;
(i) Details/Nature of Disability:………………………………………………………………………………………………...

(ii) Details of Registration with the National Council for People with Disabilities (Registration No. and date)...........................................

3. Next of Kin

1) Name……………………………………………………………….Address……………………………………………………………

Tel. No………………………………………………………………Relationship………....……..............……………...............................

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2) Name………………………………………………………………..Address………………………………………………………

Tel.No………………………………………………………………Relationship……………………………………………………..

4. Other Personal Details

Have you ever been convicted of any criminal offence or been a subject of probation order? Yes No

If Yes, state the nature of offence, the year and duration of conviction......................................................................................................

……………………………………………………………………………………………………………………………………………..

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)

(Declaring the above information will not necessarily debar an applicant from employment in the Office of the Auditor - General.
Each case will be considered on its own merit)

5. Academic Qualifications. (Starting with the Highest) Attach copies of certificates

Award/Attainment
Course/Programme Specialization/Subject
University/ (e.g. Masters,
Year (e.g. PhD, MSc, BA, (e. g Econ, Maths, Class/Grade
High School Bachelors, Degree,
O’ Level) Sociology e.t.c)
KCSE)
From To

6. Professional/Technical Qualifications/Certifications Relevant to the post. (Starting with the Highest) Attach copies of
certificates

ademic /Professional/Technical Qualifications Relevant to the post. (Starting with the Highest)
Year Specialization/Subject
Award/Attainment
(e. g Human Resource,
(e.g. Higher Diploma,
Institution Engineering, Class/Grade
Diploma,
From To Counselling
Certificate)
e.t.c)

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7. Relevant Courses and Training attended Lasting not Less than One (1) Week

Year University/College/Institution Name of Course Details and duration

8. Current Registration/Membership to Professional Bodies

Membership type (e.g. Date of Renewal

Professional Body Membership/Registration No.
Associate, Full etc)

9. Employment Details - where applicable (starting with the current or most recent)

Job Group/Grade
Designation/ Position /Scale
Year Organization
Gross Monthly Salary
(Ksh.)
From To
(dd-mm-yyyy) (dd-mm-
yyyy)

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11. Briefly state your current duties, responsibilities and assignments (if any)

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12. 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 most recent achievements and your reasons for applying for this post.

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13. Referees (people who have interacted with you professionally)

1. Full Name:……………………………………………………………………………..……………………………………………

Occupation:…………………………………………………………………………………...………………………………………

Address:………………………………………………………Post Code:………………………………...City/Town: ………….......

Mobile No:…………………………………………………………… E-mail address:………………………………………………

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Period for which the referee has known you:………………………………………..……………………………………………

2. Full Name:……………………………………………………………………………….……………….…………………………

Occupation:………………………………………………………………………………………………..…………………………….

Address:……………………………………………............ Post Code:……………………………….......City/Town: ………

Mobile No:……………………………………………....................... E-mail address:…………………………………

Period for which the referee has known you:……………………………………………………………….………

14. 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.

Date: ……………………………. ……………………………..

(dd-mm-yyyy) Signature of the Applicant

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