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Public Officer Income Declaration Form

This document contains Joan Boiyo's declaration of income, assets, and liabilities as required by the Public Office Ethics Act of Kenya. It lists her personal details including name, date of birth, address, employment as a secondary school teacher, spouse and dependent child. Her financial statement discloses a salary of 588,000 Kenyan shillings and a bank loan of 2 million shillings. She declares the information provided is true and complete and the declaration is witnessed and dated.

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Eric Mitielo
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0% found this document useful (0 votes)
44 views2 pages

Public Officer Income Declaration Form

This document contains Joan Boiyo's declaration of income, assets, and liabilities as required by the Public Office Ethics Act of Kenya. It lists her personal details including name, date of birth, address, employment as a secondary school teacher, spouse and dependent child. Her financial statement discloses a salary of 588,000 Kenyan shillings and a bank loan of 2 million shillings. She declares the information provided is true and complete and the declaration is witnessed and dated.

Uploaded by

Eric Mitielo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

POEA.

REPUBLIC OF KENYA
THE PUBLIC OFFICE ETHICS ACT, 2003
(No. 4 of 2003)
Declaration of Income, Assets & Liabilities (Section 26)

1. Name of the Public Officer


Surname First Name Other Names

Boiyo JOAN Chepkwemoi

2. Birth Information
a). Date of Birth Mar 10, 1988

b). Place of Birth na

3. Marital Status: M

4. Address
a). Postal Address 1017 - 50205 Webuye

b). Physical Address 1017 - 50205 Webuye

5. Employment Information
a). Designation Secondary Teacher II(C2)

b). Name of Employer TSC

c). Nature of Employment(Permanent, Temporary, Contract, e.t.c.) 1

d). T.S.C. No 750935

e). School/Institution Friends Secondary School - Muji

f). Sub County WEBUYE

6. Name of Spouse or Spouses


Surname First Name Other Names

(1). KIBOI NIXON

7. Name of Dependent children under the ages of 18 years


Surname First Name Other Names

(1). KIBOI ROLEX

Page 1 of 2
POEA.1

REPUBLIC OF KENYA
THE PUBLIC OFFICE ETHICS ACT, 2003
(No. 4 of 2003)
8. Financial Statement for Nov 1, 2023

a). Statement Date


Statement date is the first date of the month preceding the month in which the declaration is due.

b). Income (as of Statement Date)

Income, including emoluments, for the period from Nov 1, 2021 to Oct 31, 2023 For an initial declaration, the period
is the year ending on the statement date.

Description Approximate Amount


SALARY Ksh 588,000.00

d). Liabilities (as of Statement Date)

Description Approximate Amount


bank loan Ksh 2,000,000.00

Spouse(s) and children under 18 years Income, Asset and Liability Declaration
KIBOI NIXON | Spouse
---EMPTY---
KIBOI ROLEX | Child
---EMPTY---

9. Other Information that may be useful or relevant


Description
---EMPTY---

I solemnly declare that the information I have given in this declaration is, to the best of my knowledge, true
and complete

Signature of officer: 29622219


Date: Dec 23, 2023

Witness:
Name: MITIELO ERIC
ID Number/
27780343
Passport:
Date: Dec 23, 2023

Page 2 of 2

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