Kenya Revenue Authority is an Equal Opportunity Employer

APPLICATION FORM FOR GRADUATE TRAINEE POSITIONS

PART A: PERSONAL PARTICULARS

(Please fill in BLOCK/CAPITAL letters)
1.

Surname: _________________ Other Names: _____________________

2.

Gender: ____________________________

3.

(i)

Ethnic Group: ____________________________

(ii)

Ethnic Sub-Group: (where

(where applicable):
applicable): ____________________

4.

Religion: __________________________

5.

(i) County of Birth: ____________________________

(ii) Constituency: ____________________________
(iii) Ward : ____________________________
(iv) Location: ____________________________
(v) Sub-Location : ____________________________

6. Date of Birth: (dd/mm/yyyy): ____________________________

7. Nationality: ____________________________
8.

National ID No: ____________________________

PART B:

PERSONAL CONTACT DETAILS

9.

Postal Address: _____________Code: ______ Town________________

10.

Telephone Contacts: Cellphone No: ________________

Alternative Contact No: ________________
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Kenya Revenue Authority is an Equal Opportunity Employer

11. Email Address: ____________________________

PART C: ACADEMIC AND PROFESSIONAL QUALIFICATIONS:

(1)

State Schools and Colleges attended and indicate any Educational/ Professional/
Technical qualifications obtained.

a. ACADEMIC QUALIFICATIONS (start

(start with the Degree Qualification followed by KCSE
or equivalent qualification) AND OTHER QUALIFICATIONS AS APPLICABLE
From
To
Qualifications
Class/Level/Grad
(Year)
(Year)
Obtained
e attained e.g.
Name of the
e.g
1st Class, Honors
Institution
BCom - Procurement, A
(University/
BSc.-Mathematics, IT
etc.
School)
etc.
KCSE

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Kenya Revenue Authority is an Equal Opportunity Employer

b. PROFESSIONAL/TECHNICAL QUALIFICATIONS
From
To
Qualifications Obtained
(Year)
(Year) (level, and Field) e.g.
CPA Part II - Section 3.
Name of the
Higher Diploma in Human
Institution
Resources Management
(University/Co
Certificate in Computer
llege)
Packages etc.

Grade/Level
e.g.
Credit,
Pass etc.

PART D: EMPLOYMENT HISTORY (where applicable):

Give particulars of your employment history since leaving School/University (Start
(Start with the
current position).
position).
Name & full
Position Brief
From
To
Reasons
address of
held
description of (Year)
(Year)
for
Employer
duties
leaving
performed

PART E: PERSONAL DISCLOSURE

(Answer all the Questions by Ticking as appropriate and providing details as necessary)
necessary)
1.

Have you ever been dismissed or otherwise removed from any employment (if
(if
applicable)?
applicable)?

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Kenya Revenue Authority is an Equal Opportunity Employer

YES
NO
If YES, please give details:

2.

Do you suffer from any physical impairment?

(Attach a copy of Disability Certificate if any)
any)
YES
NO
If YES give details on nature of disability

3.

Have you ever been charged/convicted on any charge of a criminal offence in a

Court of law?
YES
NO
If YES, state the offence committed and sentence imposed:

4.

Have you ever, with or without being convicted been made the subject of a
probation order?
YES
NO

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Kenya Revenue Authority is an Equal Opportunity Employer

If YES, give details:

5.

REFEREES:
REFEREES:
Referee 1

Referee 2

Referee 3

Full Names
Email Address
Cell Phone No.
Occupation
Period known
to you (e.g.
2yrs)
NOTE:
Referees indicated should be people who know you well and exclude relatives. The period
should be indicated in specific number of years/months e.g. 2 years or 2 months. Please
avoid statements such as since birth or since 1980)
PART F: DECLARATION:
I, hereby certify that to the best of my
knowledge, the particulars given on this form are correct.

..
..
Applicants Signature

.
Date

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