19. Details:………………………………………………………………………………………………………………………
20. Institution Name ………………………………………………………
21. Year of completion ……………………………….
22. Class/ Grade………………………………………
23. Professional qualification……………………………………………………………………………………………..
24. Details …………………………………………………………………………………………………………………………
25. Institution Name ………………………………………………………………………..
26. Year…………………
27. Indicate level of computer competencies (tick the appropriate box)
Package
Nil
Basic
Good
Excellent
MS word
MS Excel
Power point
MS Access
28. Do you have any medical condition that requires special attention? No Yes (specify since
when)…………………….….
29. Have you ever been convicted of a criminal offence?
Yes/No (Specify nature and year)
……………………………………………………….
30. State Five adjectives that best describe your character ……………………..
………………………........
………………………………………..
……………………………….
…………………………….
Referees
31. Particulars of 1
Professional Referee
st
(a)Full Name……………………………….. …………………………………………………………………………
(b) Daytime Contact/Telephone number …………………………………………….
(c) Known since (year) …………………………………………………………………….
(d) Relationship with the applicant ………………………………………………………………………………………
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