PSC Form 3-2 (DRAFT)

2. Personal Details
Full Name*

First NameLast Name
E-mail*
example@example.com
Mailing Address
Phone Number
include country code eg +678 555 555
Gender

MaleFemale
Nationality*
Birth Date

DayMonthYear
Certified copy of Birth Certificate*

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3. Academic Qualifications

List Three Highest RELEVANT Academic Qualifications you have attended in chronological order starting with the latest. Attach certified copies of academic qualifications.
1. Name of Institution
Name of School/ College/University Attended
1.Level of Education
Recognised formal qualifications only
1. Qualification Obtained
Eg Bachelor of Education
1. Year Start
1. Year Completed
1. Certified copy of Academic Transcript for this Qualification

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2. Name of Institution
Name of School/ College/University Attended
2.Level of Education
Recognised formal qualifications only
2. Qualification Obtained
Eg Bachelor of Education
2. Year Start
2. Year Completed
2. Certified copy of Academic Transcript for this Qualification

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3. Name of Institution
Name of School/ College/University Attended
3.Level of Education
Recognised formal qualifications only
3. Qualification Obtained
Eg Bachelor of Education
3. Year Start
3. Year Completed
3. Certified copy of Academic Transcript for this Qualification

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4. Training

List RELEVANT trainings you have attended including short courses in chronological order starting with the latest. Attach certified copies of training certificates that you have.
1. Training Institution or Organisation
Name of organistion that did the training
1. Training Qualification Obtained
eg Computer Skills
1. Year Start
1. Year Completed
1. Training Certificate

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2. Training Institution or Organisation
Name of organistion that did the training
2. Training Qualification Obtained
eg Computer Skills
2. Year Start
2. Year Completed
2. Training Certificate

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3. Training Institution or Organisation
Name of organistion that did the training
3. Training Qualification Obtained
eg Computer Skills
3. Year Start
3. Year Completed
3. Training Certificate

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6. Previous Employment

Please list recent, relevant previous employment in chronological order starting with your latest job. Please also attach your resume or CV and any work or personal references you want us to see
1 Previous Employer
Name of Previous Employer or Organisation
1 Position
1 Year Start
1 Year End
1 Briefly describe your role
1 Reason for leaving
2 Previous Employer
Name of Previous Employer
2 Position
2 Year Start
2 Year End
2 Briefly describe your role
2 Reason for leaving
3 Previous Employer
Name of Previous Employer
3 Position
3 Year Start
3 Year End
3 Briefly describe your role
3 Reason for leaving
Attach Resume*

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6. Supporting Statement

A written statement of up to 3 pages stating how you satisfy the selection criteria specified in the job description/advertisement. Wherever possible you should relate this statement to the duties, responsibilities and qualifications required for the position, so please be as specific as possible in describing how your experience and qualifications make you suitable for the job. You must show the Selection Committee how you are specifically suited to the job and the best applicant. If you do not provide this statement, your application may not be considered by the Selection Committee.
Criteria 1
How you meet Criteria 1
Criteria 2
How you meet Criteria 2
Criteria 3
How you meet Criteria 3
Criteria 4
How you meet Criteria 4
Criteria 5
How you meet Criteria 5
Criteria 6
How you meet Criteria 6

7. Referees

Please provide the names and phone numbers of 2 relevant work referee. (e.g. recentwork supervisor or manager). Also upload relevant work or personal references you want us to see.
1. Referee Name
Full Name
Referee's Position
Job Title
1. Referee Phone

Area CodePhone Number
2. Referee Name
Full Name
2. Referee Phone

Area CodePhone Number
Referee's Organisation
Referee E-mail
example@example.com
3. Referee Name
Full Name
3. Referee Phone

Area CodePhone Number

8. Criminal Record

If yes, please provide details on a separate piece of paper in a sealed envelope and attach it to this . This information will be kept confidential and only be seen by the Selection Committee.
Do you have a criminal record; any criminal convictions;or any current legal proceedings against you?

NoYes
Details of any criminal convictions and or current legal proceedings against you?

Signature

I hereby certify that the information given in this job application is true and correct. I also acknowledge that if I am appointed on the basis of any false information that I provide, my appointment will be revoked by the Public Service Commission. I also authorise the Selection Committee for the job or the relevant Ministry to undertake any necessary checks to confirm the information provided by me.
Please sign below*
Date

DayMonthYear
DateHourMinutesAM/PM Option

2. Personal Details