Job Application Form - Inspectorate of Government - Uganda

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INSPECTORATE OF GOVERNMENT
Job Application form
Please read through the form before completing it. All questions MUST be answered. Failure to
provide full and accurate information will disqualify the application. Only candidates short – listed
for interview will be contacted.
1. Vacancy Number:…….………….. 2. Job Title ……………………………………………………………………….
3. Surname:……………………………………………………………………………………………………………………..
4. First / Other Names:…………………………………………………………………………
5. Date of Birth: ……………………………………………. 6. Gender (tick)
Male/Female
DD/MM/YY
7. Marital status (tick)
Never Married
Currently Married
Previously Married
8. Full Residential address ……………………………………………………………………………………….
P.O Box Number or Street Address
…………………………………………………….
…………………………………………………………….
Suburb/Zone/Village
Town /City / District
9. Full Postal Address
………………………………………………………………………………
P.O.Box number or Street address
10. Contact/Telephone number (s)……………………………………………………………………………
Day time
External
Evening
11. Contact Email Address ………………………………………………………………………………………………
12. Currently employed ……………………………………………………….. (if No go to question 18)
13. Employers Name ………………………………………………………………………………………………………
14. Employed since ………………………………………………………………………………………………………..
DD/MM/YY
15. Current Designation ……………………………………………………………………………………………………
16. Current Gross Salary …………………………………..……………………………………………………………..
17. Notice required for termination; Months (enter 0, If none required)………………………………..
18. High academic Qualification
………………………………………………………………………………………
1
INSPECTORATE OF GOVERNMENT
Job Application form
Please read through the form before completing it. All questions MUST be answered. Failure to
provide full and accurate information will disqualify the application. Only candidates short – listed
for interview will be contacted.
1. Vacancy Number:…….………….. 2. Job Title ……………………………………………………………………….
3. Surname:……………………………………………………………………………………………………………………..
4. First / Other Names:…………………………………………………………………………
5. Date of Birth: ……………………………………………. 6. Gender (tick)
Male/Female
DD/MM/YY
7. Marital status (tick)
Never Married
Currently Married
Previously Married
8. Full Residential address ……………………………………………………………………………………….
P.O Box Number or Street Address
…………………………………………………….
…………………………………………………………….
Suburb/Zone/Village
Town /City / District
9. Full Postal Address
………………………………………………………………………………
P.O.Box number or Street address
10. Contact/Telephone number (s)……………………………………………………………………………
Day time
External
Evening
11. Contact Email Address ………………………………………………………………………………………………
12. Currently employed ……………………………………………………….. (if No go to question 18)
13. Employers Name ………………………………………………………………………………………………………
14. Employed since ………………………………………………………………………………………………………..
DD/MM/YY
15. Current Designation ……………………………………………………………………………………………………
16. Current Gross Salary …………………………………..……………………………………………………………..
17. Notice required for termination; Months (enter 0, If none required)………………………………..
18. High academic Qualification
………………………………………………………………………………………
1
19. Details:………………………………………………………………………………………………………………………
20. Institution Name ………………………………………………………
21. Year of completion ……………………………….
22. Class/ Grade………………………………………
23. Professional qualification……………………………………………………………………………………………..
24. Details …………………………………………………………………………………………………………………………
25. Institution Name ………………………………………………………………………..
26. Year…………………
27. Indicate level of computer competencies (tick the appropriate box)
Package
Nil
Basic
Good
Excellent
MS word
MS Excel
Power point
MS Access
28. Do you have any medical condition that requires special attention? No Yes (specify since
when)…………………….….
29. Have you ever been convicted of a criminal offence?
Yes/No (Specify nature and year)
……………………………………………………….
30. State Five adjectives that best describe your character ……………………..
………………………........
………………………………………..
……………………………….
…………………………….
Referees
31. Particulars of 1
Professional Referee
st
(a)Full Name……………………………….. …………………………………………………………………………
(b) Daytime Contact/Telephone number …………………………………………….
(c) Known since (year) …………………………………………………………………….
(d) Relationship with the applicant ………………………………………………………………………………………
2
32. Particulars of 2
Professional Referee
nd
(a)Full Name………………………………..…………………………………………………………………………..
(b) Day time Contact Telephone number …………………………………………………………………….
(c) Known since (year) …………………………………………………..
(d) Relationship with the applicant ………………………………………………………………………………………
33. Particulars of a character Referee
(a)Full Name……………………………….. …………………………………………………………………………………..
(b) Day time Contact/Telephone number ……………………………………………………………………………..
(c) Known since (Year) ………………………………………………….
(d) Relationship with the applicant ………………………………………………………………………………………
34. Applicants Declaration
I ………………………………………………………….declare that the information given on this form is true
and accurate.
Tick items attached
 Detailed CV
 Copies of Qualification Certificates
 Letters of References
…………………………………………………………………………………..
………………………………………………….
Signature
Date
3

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