KENYA NUCLEAR REGULATORY AUTHORITY

EMPLOYMENT APPLICATION FORM

Please complete all sections of this form in BLOCK letters, attach academic certificates ONLY, then scan and
send to careers@knra.co.ke OR post HARD COPIES addressed to: -

The Director General

Kenya Nuclear Regulatory Authority

P.O Box 19841 – 00202 KNH, NAIROBI

KASNEB Towers II, 9th floor. Off Hospital Road, Upper Hill, Nairobi

PART A: DETAILS ON VACANT POST

Position Applied for:

Vacancy number:

PART B: PERSONAL DETAILS

Surname: First Name: Other Name(s):

Gender: Date of Birth: (dd/mm/yyyy):

Nationality: National ID/Passport No:

Marital status: Religion:

Ethnicity: County of Origin:

Current place of residence (county/town etc.):

Disability status (Yes/No):

If yes give - Nature of Disability:
Details of Registration with the National Council for People with Disabilities (Registration No. and Date)

Postal Address: Code: Town:

Cell Phone Number: Email Address:

1|Page P.O. BOX 19841, 00202,KNH Nairobi| KASNEB Towers II,9th Floor, Nairobi, Kenya. | Tel +254 769545288
Email: info@knra.co.ke Website: www.knra.co.ke
PART C: ACADEMIC AND PROFESSIONAL QUALIFICATION

Start with the most recent.

1. ACADEMIC QUALIFICATION

Name of the Institution From To Year Qualification Obtained

Year
(university/college/school) (level and Field) e.g.

o BSc. Chemistry
o BSc Physics etc.

2. PROFESSIONAL /TECHNICAL QUALIFICATIONS

Name of the institution From To Qualification Obtained (level and field)

(university/ College) Year Year

2|Page
PART D: EMPLOYMENT HISTORY

Give particulars of your employment history if any (Start with the most recent position)

Name of Employer Position held From To

period period

i. Briefly state duties, responsibilities and assignments at your most recent employment (if applicable)

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

ii. Please give details of your abilities and skills which you consider relevant to the position applied for.
(This information may include an outline of your recent achievements and your reason for applying for
this post.)

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

3|Page
 PART F: REFEREES (Provide at least two)

Name Position/Organization Phone Number Email Address

PART H: DECLARATION

I ………………………………………………………………………………………………………...hereby declare that:

To the best of my knowledge, the particulars given on this form are correct and, I understand that any incorrect
or misleading information shall lead to disqualification and/or legal action.

Applicants signature ………………………………………. Date……………………………………….

KNRA is an Equal Opportunity Employer

4|Page