Online Application Form

Enter vacancy as stated in the advertisement

First name, surname, other name

(dd/mm/yyyy)

(As stated in the current appointment)

Describe here

The Department quoted in the advertisement

(Prof/Dr/Mr/Mrs/Miss/Ms/Rev)

Male/ Female

(dd/mm/yyyy)

Enter a brief message

Declaring the above information will not necessarily debar an applicant from employment in Mombasa Public Service. Each case will be considered on its own merit.

Fill The Next three pages as requested: a. Academic, Professional & Technical Qualifications b. Other Relevant Courses c. Employment Details. Areas marked with an asterisk * must be filled

Academic, Professional & Technical Qualifications

Academic/Professional/Technical Qualifications (starting with the highest)

Duration in School

School,College or Uni

E.g. PHD, MSC, BA

E.g. Econ, Maths

Grade attained

Duration in school

School,College or Uni

E.g. PHD, MSC, BA

E.g. Econ, Maths

Grade attained

Other Relevant Courses

Personal Details

Personal References The names of distinguished persons should not be used unless they really know you well; the names of relatives or of those from whom you send testimonials should not be used. The names of members of staff of the Mombasa Public Service Board should also not be used.

Reference No.1

Reference No.2

To upload multiple files - please put the files in a folder then select the files you want to send by using the Control Key of your Key Board. Alternatively, multiple files can be sent as continuous pages. Please upload PDF files only

I hereby certify to the best of my knowledge that the particulars given on this form are correct and I understand that any incorrect information may lead to disqualification/ legal action.

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