L.g.s.c. Form 7 - Local Government Service Commission Page 2
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1
2EMPLOYMENT HISTORY
14.1
In the LOCAL GOVERNMENT SERVICE
(i)
Present Employment
Post held
Temporary/Substantive
Local Authority
..............................................................
..............................................................
.................................................
Date of Present Appointment
Date of Confirmation in the Service
Present Salary per month
Rs
Date
Month
Year
Date
Month
Year
(ii)
Previous Employment
Post held
Temporary/Substantive
Local Authority
Date of Appointment
............................................
............................................
............................................ ............................................
............................................
............................................
............................................ ............................................
............................................
............................................
............................................ ............................................
(iii)
Have you ever resigned or been dismissed or retired from the Local Government Service on any grounds whatsoever?
Yes
No
If yes, give details:-
…………………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………..
14.2 OTHER THAN LOCAL GOVERNMENT SERVICE (INCLUDING PARASTATALS)
Post/s
Date
Name and address of employer
From
To
...........................................................
..................................
...................................
...........................................................
...........................................................
..................................
...................................
...........................................................
15.
Have you ever been prosecuted before a court of law for any offence AND subsequently found guilty?
Yes
No
If yes, give details (court, charge, date, sentence – e.g. prison, fine, caution or conditional discharge):-………...
………………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………..
16. IMPORTANT - PLEASE READ THE ADVERTISEMENT CAREFULLY: Incomplete, inadequate or inaccurate
filling of the form may cause the applicant’s elimination from consideration. It is an offence to give
false information or to conceal any relevant information. This may lead to an application being
rejected or, if a candidate has already been appointed, to the termination of his appointment.
DECLARATION
I am aware that a public notification regarding the appointment/promotion of successful candidate/s (when applicable) will be posted on
the website of the Local Government Service Commission.
I,........................................................................................., the undersigned applicant, declare that the particulars in this application are true
and accurate and that I have not willfully suppressed any material fact and that I have read and understood the notes and instructions to
candidates as well as that in the advertisement.
Date..........................................
Signature.....................................................................
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