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4UGANDA BUREAU OF STATISTICS,
UGANDA(KAMPALA)
Job Application Form
Position ……………………………………………………………….…………………..…….
Job Reference Number ………………………………………….…..………………….…
Date of Advert …………………………………………………………………..…………….
1. PERSONAL HISTORY
Surname Name:
Other Name (s):
Maiden Name (if applicable):
Date of Birth:
Present Nationality:
Gender:
Permanent Address:
Telephone Number (s):
E-mail Address:
Language:
2. QUALIFICATIONS:
EDUCATION, Give full details in Chronological order, making a clear distinction between first degree and
postgraduate level. Give the names of the institution and title- N.B: Please give exact titles of degrees in
English Language. Enclose copies of your academic credentials
Degree/Diploma (Please Specify and Attach Certificates)
From
To
Institution (name,
Certificates,
Classific
Main field(s) or
month
month/
place)
Diploma/Degree
ation of
Subject(s) of
/year
year
s obtained
Degree
Study
UGANDA BUREAU OF STATISTICS,
UGANDA(KAMPALA)
Job Application Form
Position ……………………………………………………………….…………………..…….
Job Reference Number ………………………………………….…..………………….…
Date of Advert …………………………………………………………………..…………….
1. PERSONAL HISTORY
Surname Name:
Other Name (s):
Maiden Name (if applicable):
Date of Birth:
Present Nationality:
Gender:
Permanent Address:
Telephone Number (s):
E-mail Address:
Language:
2. QUALIFICATIONS:
EDUCATION, Give full details in Chronological order, making a clear distinction between first degree and
postgraduate level. Give the names of the institution and title- N.B: Please give exact titles of degrees in
English Language. Enclose copies of your academic credentials
Degree/Diploma (Please Specify and Attach Certificates)
From
To
Institution (name,
Certificates,
Classific
Main field(s) or
month
month/
place)
Diploma/Degree
ation of
Subject(s) of
/year
year
s obtained
Degree
Study
School- Attach Certificates
From
To
Institution (name,
Certificates,
O’Level
O’Level
month
month
place)
obtained
Score in
Score
/year
/year
English
in
Math
Professional Courses ACCA,CPA,CIPS CIPD
From
To
Qualification
Date Obtained
month
month
/year
/year
Relevant Training /Course Include training or courses in your professional or related field Enclose copies
of certificates
From
To
Institution (name,
Certificates, obtained
month
month
place)
/year
/year
3. List professional societies /associations to which you belong or belonged and indicate activities
performed
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
4. List any significant publications or papers you have written which may be of relevance to the post
being applied for.
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
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5. What are your major skills and behavioral characteristics that can be assets to the post you have
applied
for?...........................................................................................................................................................
.................................................................................................................................................................
EMPLOYMENT RECORD-(Attach copies of Appointment letter)
Please fill in details of your employment record below in chronological order, starting with your current
or latest position. Use a separate block for each post.
A.
Most recent Position :
Exact
Name of
From
To
Summary of the Period
Title of
Employer
Month/Year
Month/Year
Worked for each
post
Position
Description
of Duties
Address Of Employer :
B.
Previous Post :
Summary of the Period Worked
Reason (s) for leaving
for each Position
Description
of Duties
Address Of Employer :
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Type of Organization e.g. NGO, Government, Private etc
Do you have any health condition which might impair your ability to perform the tasks involved in
this post? Yes ………… No………… (If yes, do not provide details at this stage but you will be
required)……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
6. REFEREES
List the name of the three persons, not related to you who are familiar with your character and
qualifications
Full Name
Full Address &Email
Occupation
Phone Number
7. Any other additional information you would like to add:
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Signature of the HRO after checking the data
Date
8. I, …………………………………………………………..... certify that the statements made by me to
answer the foregoing questions are true and complete to the best of my knowledge. I understand
that any misrepresentation or material omission made on this form may render my candidature
null & void or lead to termination of employment.
Date:____________________________
Signature: ___________________________
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