Micro And Small

Enterprises
Authority
CANDIDATES’ PROFILE & APPLICATION FORM
All candidates are required to complete this form carefully and verify the details/information thereon before
transmitting the document to the Micro and Small Enterprise Authority. The document is to be submitted in
MS WORD FORMAT and the information should be typed IN BLOCK LETTERS on the spaces provided.
Shortlisted candidates will be required to bring with them original copies of their certificates and Valid
Section 6 documents and other testimonials when attending the interview.
JOB REFERENCE TITLE/POSITION

1. CANDIDATE’S BIO-DATA
First Last Other Names Gender

Postal Address
Cell Phone Number Email Address (Box, Town and Postal
Code)

ID Card Number Date of Birth PIN Number

Nationality Ethnicity Home County

Are you Living with

Sub-County Constituency Disability?
Yes/No

If Yes on Disability, give details of disability NIL

and Registration Number & Date with the
National Council of People with Disabilities
Current Salary per month (Gross)

Expected Salary per month (Gross)

2. EMPLOYMENT HISTORY
From / To Organization Position Held Key Responsibilities Gross Salary per Month

Candidates Profile Form page 1

 3. PROFESSIONAL QUALIFICATIONS
From / To Institution Qualification Specialization

4. EDUCATIONAL/ACADEMIC QUALIFICATIONS
From / To Institution Qualification Grade/Score

5. MEMBERSHIP TO PROFESSIONAL BODIES/ASSOCIATIONS

Date Member No. Association/Society/Institute, ETC

6. CLEARANCES WITH STATUTORY BODIES

Ethics and Anti -Corruption Commission

Higher Education Loans Board

Certificate of Good Conduct

Kenya Revenue Authority

Certificate from Credit Reference Bureau

Candidates Profile Form page 2

 7. List the Skills and Competencies which you consider relevant for this job

8. DECLARATIONS
Have you ever been convicted of any criminal offence or a subject of a probation order?
(delete the option that is not applicable)
If Yes, state the nature of offence, the year and duration of conviction (space below)

Have you ever been dismissed or otherwise removed from employment?

(delete the option that is not applicable)
If Yes, state reason (s) for dismissal/removal (space below)

Declaring the above information will not necessarily debar an applicant from employment at the Micro and Small
Enterprise Authority. Each case will be considered on its own merit.
9. REFEREES
Referee 1 Referee 2 Referee 3

NB: Referee information to include name, address, designation, institution, mobile and email contacts

******** END *******

Candidates Profile Form page 3