THE NATIONAL COUNCIL OF CHURCHES OF KENYA

Jumuia Place, Lenana Road, P. O. Box 45009 00100 GPO Nairobi, Tel: 2721249 / 2724099 / 2723445 / 2724694 Mobile Lines: 0721-388277 / 0733-758736 Fax: 2724183 E-mail: gsoffice@ncck.org Website: www.ncck.org
FOR WANANCHI

GENERAL SECRETARIAT

JOB APPLICATION FORM

INSTRUCTIONS
Please answer each question clearly and completely. TYPE OR PRINT LEGIBLY. Read carefully and follow all directions. 1. POSITION APPLIED FOR 2. JOB REF

Bstorekeeper
3. 4. 9. Surname Date of (day/month/yr) Birth 15/03/1986 Height 10. Weight 5. First name

SK-JGHN
Middle name

WANGA

BENSON
Place of birth 11. Marital Status: 6.

ABWOTO
Nationality at birth 7. Present Nationality 8. Sex

BUTERE Single

KENYAN Married Separated P.O. Box 5479 Code 00100 Cell phone 726739624 Email bensonwanga@ymail.com WRITE
Easily Not Easily

KENYAN Widow(er)

Male

Female

5'8''

65KG

Divorced

12. Present Physical and Postal Address

13. INDICATE THE LANGUAGES YOU ARE FAMILIAR WITH AND THE LEVEL OF PROFICIENCY:

LANGUAGE
Easily

READ
Not Easily

SPEAK
Fluently Not Fluently

UNDERSTAND
Easily Not Easily

ENGLISH KISWAHILI LUHYA

14. EDUCATION, PROFESSIONAL AND TECHNICAL TRAINING - Give full details. Please give exact titles of degrees in original language, do not translate or equate to other degrees. NB: Do not indicate programmes you have not completed at the time of application ATTENDED FROM/TO INSTITUTION (NAME, COUNTRY and COMPLETE ADDRESS) Month/Year Month/Year EXAMS TAKEN EXAMINING BODY QUALIFICATION OBTAINED

MASENO YOUTH POLYTECHNICKENYA.207 MASENO

JAN 2008

DEC 2009

GOVT TRADE TEST 111

DIT

PASS

SHIRAHA SECONDARY SCHOOL

2002

2005

KCSE

KNEC

D+

SHIRAHA PRIMARY SCHOOL

1994

2001

KCPE

KNEC

B-

KENYA INSTITUTE OF SOCIAL AND COMMUNITY DEVELOPMENT

AUG 2011

NOV 2011

SHORT COURSES

KISCWD

PASS

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15. LIST ANY PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS SCOUTING

16. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (DO NOT ATTACH) NONE

17. EMPLOYMENT RECORD: Starting with your present post, list in REVERSE ORDER every employment you have had. Use a separate block for each post. If you need more space, attach additional pages of the same size. Give both basic and gross per month. A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT) FROM MONTH/YEAR NOV 2011 TO MONTH/YEAR DATE BASIC KSH.6000 SALARY PER MONTH GROSS 6000 TYPE OF BUSINESS MEDICAL NAME OF SUPERVISOR NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: REASON FOR LEAVING EXACT TITLE OF YOUR POST: SUPPORT STAFF

NAME OF EMPLOYER: NDUNDE DENTAL SERVISES ADDRESS OF EMPLOYER:

DESCRIPTION OF YOUR DUTIES:

18. EXPECTED SALARY: Kindly indicate the salary you expect to earn on this position. KShs 20000

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B. PREVIOUS POSTS (IN REVERSE ORDER) FROM MONTH/YEAR JUNE 2010 TO MONTH/YEAR DATE SALARY PER MONTH BASIC 2500 GROSS 2500 TYPE OF BUSINESS: DISTRIBUTNG OF HEALTH NPRODUCTS NAME OF SUPERVISOR: SALOME MASUGA NO. AND KIND OF EMPLOYEES REASON FOR LEAVING: SUPERVISED BY YOU: DESCRIPTION OF YOUR DUTIES EXACT TITLE OF YOUR POST: SALES DISTRIBUTOR

NAME OF EMPLOYER: FOREVER LIVING PRODUCTS EAST AFRICA ADDRESS OF EMPLOYER:

FROM MONTH/YEAR JUNE 2010

TO MONTH/YEAR DATE

SALARY PER MONTH BASIC 5000 GROSS 5000

EXACT TITLE OF YOUR POST: MANAGER

NAME OF EMPLOYER: SELF EMPLOYED-OMWAMI FURNITURE AND INTERIORS ADDRESS OF EMPLOYER: 5479-00100

TYPE OF BUSINESS: FURNITURE FABRICATION AND INTERIOR DESIGNS NAME OF SUPERVISOR: BENSON WANGA NO. AND KIND OF EMPLOYEES REASON FOR LEAVING: SUPERVISED BY YOU:

DESCRIPTION OF YOUR DUTIES Outsourcing and supervision of fabrication of steel furniture and interior designs

FROM MONTH/YEAR

TO MONTH/YEAR

SALARY PER MONTH BASIC GROSS

EXACT TITLE OF YOUR POST:

NAME OF EMPLOYER: ADDRESS OF EMPLOYER:

TYPE OF BUSINESS: NAME OF SUPERVISOR: NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: DESCRIPTION OF YOUR DUTIES REASON FOR LEAVING:

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19. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER?

YES

NO

20. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. One of your referees must be a past or current employer and the other your present Pastor. PHYSICAL / POSTAL FULL NAME BUSINESS OR OCCUPATION TELEPHONE No EMAIL ADDRESS

DUNCAN OSOTSI

MANAGER MASENO YOUTH POLYTECNIC TRAINING COORDINATOR KENYA INSTITUTE OF SOCIAL AND COMMUNITY DEVELOPMENT DENTIST

207 MASENO

IRENE MWILU

NDUNDE DENTAL SERVICES

21. STATE ANY OTHER RELEVANT FACTS TO YOUR QUALIFICATION FOR THE POSITION APPLIED FOR, HIGHLIGHTING: Relevant training and work experience, Leadership and strategic management orientation, Interpersonal relations and team orientation, People management, Communication skills, Technological orientation and Change management.

Having skills in procurement,project managent ,strategic planning,I will be able to manage the resourses

22. HAVE YOU EVER BEEN ARRESTED, INDICTED, OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVICTED, FINED OR IMPRISONED FOR THE VIOLATION OF ANY LAW? YES NO
If Yes, give full particulars of each case in an attached statement.

23. DO YOU HAVE A RELATIVE CURRENTLY WORKING IN NCCK?

YES

NO

If Yes, give the name of the person, your relationship with them and their current work station.

Name of Relative: Nature of relationship (who they are to you): Their current work station: 24. I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief.
DATE (day, month, year)

15TH NOV 2011

SIGNATURE:

N.B. You will be requested to supply documentary evidence to support the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so by the NCCK.

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