MINISTRY OF EDUCATION, TERTIARY EDUCATION, SCIENCE AND TECHNOLOGY
MITD HOUSE, PHOENIX
Application for Post of Tradesman’s Assistant
Section A (To be filled in by Applicant)
1. Title: Mr Mrs Miss (Tick as appropriate)
Surname: ……………………………………………………………………………………...
(in block letters)
Other Names: …………………………………………….…………………….……..............
(in block letters)
Maiden Name (if applicable): ………………………………………………..….……............
2. Date of Birth: ………….…National Identity Card No:
3. Residential Address: ………………………………………………………………………….
4. Phone Numbers: Office:…….………... Home: ………..…….. Mobile:…….…….……....
5. Date joined Service: ……………………………………………………....………………….
6. Date transferred to the Permanent and Pensionable Establishment: (PPE) and in what grade:
...................................................................................................................................................
7. (i) Present Post held: ………………………………………………………………..…..
(ii) Whether casual/temporary/substantive: ……………………………………..………
8. Date of present appointment: …………………………………….……….............................
9. Posting : (i) Ministry/Department: ........................................................................................
(ii) Site of Work/School/Section/Division/Unit:…………………………….……..
10. Present basic salary: …………………………………………………..…………………….
11. Previous appointment held in Government Service:
Previous Appointment From To Ministry/Department
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12. Educational Qualifications (Please attach copies of certificates):
(a) Detailed results of Certificate of Primary Education
Year
Subject Grade
English ………..…..
French ……..….….
Maths ………..…..
Geography/EVS ……………
Oriental Language (............................) ……………
(b) Detailed results of Cambridge Detailed results of London General
School Certificate Certificate of Education (Ordinary Level)
Year Examination Centre No. Index No. Year Examination Centre No. Index No.
……. …………………………. ………… ……. …………………………. …………
Subject Grade Subject Grade
1. …………………….. ……….… ………………………… …………….
2. …………………….. ……….… ………………………… …………….
3. …………………….. ……….… ………………………… …………….
4. …………………….. ……….… ………………………… …………….
5. …………………….. ……….… ………………………… …………….
6. …………………….. ……….… ………………………… …………….
7. …………………….. ……….… ………………………… …………….
8. …………………….. ……….… ………………………… …………….
13. Any other Qualifications:……………………………………………………………….......
……………………………………………………………………………………….………………
14. Trade(s) applied for: Welding Plumbing and Pipe Fitting Masonry
Electrical Works Painting Carpentry
(Tick as applicable)
15. Experience relevant to the post applied for (Attach documentary evidence)
………………………………………………………………………………………………..…….
……………………………………………………………………………………………………...
……………………………………………………………………………………………………..
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16. (a) Have you ever been prosecuted before a court of law for any offence and subsequently found
guilty?
(If yes, give details)……………………………………………………………………………….
………………………………………………………………………………………………………………........
(b) Have you ever been dismissed or retired from the Public Service on any grounds whatsoever?
(If yes, give details)………………………………………………………………………………...
……………………………………………………………………………………………………...
17. IMPORTANT – PLEASE READ THE ADVERTISEMENT CAREFULLY:
Incomplete, inadequate or inaccurate filling of the form may cause the elimination of the applicant.
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, ……………………………………………………………., the undersigned applicant, declare that the
particulars in this application form and in the sheets thereto, are true and accurate to the best of my
knowledge and belief and that I have not willfully suppressed any material facts.
Date:……………………………. ………………………………………
Signature of Applicant
Section B
To be filled by Head of School or Head of Division/Section/Unit where applicant is posted
(i) Records of Sick Leave taken 2021: ………days 2022: ………. days 2023: …………. days
2024 as to date: ………… days
(ii) Report on:
Conduct ……………………………………………………………………………….….……
Work ……………………………………………………………………………………….….
Attendance ………………………………………………………………………………….…
(iii) Whether applicant possess the PSLC/CPE (Yes/No) ………………………………………….
In the affirmative, please attach a photocopy thereof.
Comments, if any, on experience claimed and any other remarks
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
Signature: .....................................................................................
Name (in full): ………………………………………….………
Designation: ………………………………………….………… Seal of
School/Division
Date: ……………………………………
Office Phone No: ……………………..
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Section C
To be filled by Human Resource Division of Education Zone where applicant is posted.
(i) Whether officer has been subject to disciplinary action for the past ten years: (in the affirmative,
please give details) ………..…………..............................................................................................
(ii) I certify that particulars at Sections A, B and C (i) above have been verified and found correct.
Signature of officer: .....................................................................
Name (in full): …………………………………………..……… Seal of Human
Resource
Designation: ………………………………………….………… Section
Date: ……………………………………………………………
