Kenya Revenue Authority is an Equal Opportunity Employer

EXTERNAL CANDIDATES APPLICATION FORM

PART A: DETAILS ON VACANT POST
1. Position Applied For: --------------------------------------------------------------2. Grade of the Position: -------------------------------------------------------------3. Department: -------------------------------------------------------------------------

4. Highest Academic Qualification:------------------------------------------5. Highest Professional Qualification:----------------------------------------6. Membership to a Professional Body:---------------------------------------7. Skills/Competencies Match:
SKILLS /COMPETENCIES(pick from
the job advert)

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DEMONSTRATION OF YOUR FIT

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Kenya Revenue Authority is an Equal Opportunity Employer

PART B: PERSONAL PARTICULARS

(Please fill in BLOCK/CAPITAL letters)

1. Surname: ----------------------------Other Names: --------------------------2. (i) Gender: --------------- (ii) Date of Birth: (dd/mm/yyyy)---------------3. (i)
(ii)

Ethnic Group: -----------------------------------------------------------Sub- Group: (Where applicable) -------------------------------------------

4. Religion: -----------------------------------------------------------------------5. County of Birth: --------------------------------------------------------------6. Current Residential Place: --------------------------------------------------7. The following information to be filled as it appears in the National
Identification Card.
(i) District: ------------------------- (ii) Division: ----------------------------(iii) Location: ----------------------- (iv) Sub-Location: -------------------8. Nationality: -------------------------------------------------------------------9. National ID No: ----------------------------------------------------------

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Kenya Revenue Authority is an Equal Opportunity Employer

PART C: PERSONAL CONTACT DETAILS

10.

Postal Address: ------------------------Code: ------------------Town--

11. Cell Phone Number:----------------------------------------------------------Alternative Contact No:-------------------------------------------------Email Address: ----------------------------------------------------------------PART D: ACADEMIC AND PROFESSIONAL QUALIFICATIONS:

State Schools and Colleges attended and indicate any professional/

Educational/ Technical qualifications obtained. (Start with the most
recent qualification).
a. ACADEMIC QUALIFICATIONS
(1)

From
(Year)

To
(Year)

Name of the Institution

(University/College/School)

Qualifications
Obtained
(level, and Field )

Grade e.g.

1st
Class,
Credit,
A Plain
etc.

e. g
BCom Procurement,
BSc.-Maths, IT etc.

b. PROFFESIONAL/TECHNICAL QUALIFICATIONS

Name of the Institution

(University/College)

From
To
Qualifications
(Year) (Year) Obtained (level,
and Field) e.g.

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Grade e.g.

Credit,
Pass etc.

CPA Part II Section 3.

Higher Diploma in
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Kenya Revenue Authority is an Equal Opportunity Employer

Human Resources
Management
Certificate in
Computer
Packages etc.

c. MEMBERSHIP TO PROFESSIONAL BODIES

Professional Body

Membership type

Membership Number

PART E: EMPLOYMENT HISTORY:

Give particulars of your employment history. (Start with the current position).
Name & full
address of
Employer.

Position held

Brief description of
duties performed

From
(Year)

To
(Year)

PART F: DECLARATION:
I, .. hereby certify that:
To the best of my knowledge, the particulars given on this form are correct.
..
Applicant's Signature

.
Date
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