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Job Application Form-1

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The document provides an application form for employment at the National Revenue Authority. It requests personal details, education and employment history, references, medical status and availability to work.

The application form requests information such as name, address, contact details, nationality, date of birth, marital status, education history, employment history, references, medical status and availability.

The applicant needs to attach a signed passport photograph with the completed application form.

NATIONAL REVENUE AUTHORITY

Application for Employment


(To be completed in applicant’s own handwriting)

Attach Signed
Passport
Photograph Here

1. Position applied for:………………………………………………………………...........................

2. First Name:………………………………………………………………………………………….

Middle Name:………………………………………………………………………………………

Family Name:……………………………………………………………………………………….

3. Present Address and Telephone No:………………………………………………………………..

……………………………………………………………………………………………………..

Mailing Address:……………………………………………………………………………………

E-mail Address:…………………………………………………………………………………….

4. Nationality:…………………………………………………………………………………………

Date and Place of Birth:…………………………………………………………………………….

5. Sex: Male Female

6. Marital Status: Single Married Divorced Widow Widower

Names and ages of Children: Name:……………………………………..Age………….

Name:……………………………………..Age………….

Name……………………………………...Age………….

Name………………………………………Age…………

Name………………………………………Age…………

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7. (a) Name, Address and Telephone No, Email Address of Next of Kin to be contacted in case

of emergency

………………………………………………………………………………………………

………………………………………………………………………………………………

(b) Relationship:……..…………………………………………………………………………

8. Name, Address and Telephone No, Email Address of Beneficiary(s) to whom benefit should be
paid in case of death of employee:
……………………………………………………………………………………………………..

……………………………………………………………………………………………………..

9. Universities/Colleges attended

Years Attended Certificate/Degree Obtained


Name and Address From To Obtained Class

10. Schools Attended Date Examination Passed

…………………………………………. ………………………. ………………………

…………………………………………. ………………………. ………………………

…………………………………………. ………………………. ………………………

…………………………………………. ………………………. ………………………

…………………………………………. ………………………. ………………………

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11. Any Other Professional Qualifications/Specialized Training?

………………………………………………………………………………………………………

………………………………………………………………………………………………………

………………………………………………………………………………………………………

Name and Address of Tutor, Head of Department from where reference may be obtained.

………………………………………………………………………………………………………

………………………………………………………………………………………………………

………………………………………………………………………………………………………

12. Previous employment (including Recent Employer, if any):

Name of Employer Date Nature of Work

………………………………………. ………………. ………………………………

………………………………………. ………………. ………………………………

………………………………………. ………………. ………………………………

13. Relatives Employed in the Institution:

Name Relationship

……………………………………………………….. ………………………………

……………………………………………………….. ………………………………

Why are you interested in working in the NRA?

………………………………………………………………………………………………………

………………………………………………………………………………………………………

………………………………………………………………………………………………………

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14. Names, Addresses and Telephone Nos, Email Address of 2 people of standing (relatives included
that can provide academic/character reference):

………………………………………………………..……………………………………………..

………………………………………………………..……………………………………………..

15. Medical Status

………………………………………………………………………………………………………

16. Have you ever been convicted of any criminal offence?

………………………………………………………………………………………………………

17. If appointed how soon would you be ready to start work?

………………………………………………………………………………………………………

18. Declaration
I declare that the information and statement provided by me in this form are true and that false
information may lead to disqualification and dismissal if already in employment.

Signature:…………………………………….. Date:…………………………………….

FOR OFFICIAL USE ONLY

Recommendation of Panel:…………………………………………………………………………………

Position Offered:……………………………………………………………………………………………

Salary:………………………………………………………………………………………………………

Date of Appointment:………………………………………………………………………………………

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