PUBLIC SERVICE COMMISSION
ATTACH A
PASSPORT
SIZE
Serial No: ………………………………………… Ext. Advert No. .……………/20……
Int. Advert No. .……………/20…… PHOTGRAPH
HERE
APPLICANTS FORM
1. Surname ……………………………………... 2. Other names: ………………………………………………
3. National ID No (NIN). …………………………………… 4. S e x : … … … … … … .
5 . Date of Birth ………/………/……………(dd/mm/yyyy)
6. Telephone Nos: ……………………………………………………………………………… 7. Age…………………………….
8. Email Address: ……………………………………………………………………………………………………………………………
9. Nationality …………………………………………………… 1 0 . Home District …………………………….
11. Marital Status……………………………… 12. No of Children …………………………
13. Posts applied (i) ……………………………………………………………………………………………………………………………
for:
(ii) ……………………………………………………………………………………………………………………………
12. Education Background (Start With Most Recent)
Period Qualification (In Full) Major Subject Institution Class of
From To /Option/Specialization Degree
13. Employment Record (Start With Most Recent)
Position
Period held/Designation Organization /M
From To
DD MM YYYY DD MM YYYY
Date of Submission ………………………………………… Signature ……………………………………………………
NB: Major subject/option/specialization to be indicated only where applicable