PUBLIC SERVICE COMMISSION

ATTACH A
PASSPORT
SIZE
Serial No: ………………………………………… Ext. Advert No. .……………/20……
Int. Advert No. .……………/20…… PHOTGRAPH
HERE
APPLICANTS FORM
1. Surname ……………………………………... 2. Other names: ………………………………………………
3. National ID No (NIN). …………………………………… 4. S e x : … … … … … … .

5 . Date of Birth ………/………/……………(dd/mm/yyyy)

6. Telephone Nos: ……………………………………………………………………………… 7. Age…………………………….

8. Email Address: ……………………………………………………………………………………………………………………………

9. Nationality …………………………………………………… 1 0 . Home District …………………………….

11. Marital Status……………………………… 12. No of Children …………………………

13. Posts applied (i) ……………………………………………………………………………………………………………………………
for:
(ii) ……………………………………………………………………………………………………………………………

12. Education Background (Start With Most Recent)

Period Qualification (In Full) Major Subject Institution Class of

From To /Option/Specialization Degree

13. Employment Record (Start With Most Recent)

Position
Period held/Designation Organization /M
From To
DD MM YYYY DD MM YYYY

Date of Submission ………………………………………… Signature ……………………………………………………

NB: Major subject/option/specialization to be indicated only where applicable