Employment Application Form

1. PERSONAL DETAILS

Please provide all the details as fully as possible as this allows us to communicate with you more efficiently

First name(s)

Surname / Last name

Please affix a passport size photo here

Upload National ID / Passport No

Date of birth

Gender Male Female

National ID / Passport No

Email Address

Present Address

Alternative No.

Mobile No.

Relationship Status Single Married Divorced

Spouse Name

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2. EMERGENCY CONTACT

Name

Address

Relationship

Contact No

3. DETAILS OF ACADEMIC QUALIFICATIONS

Qualification	Awarding Body	Year	#
Select Level O level A level 1 2 3 4 5 6 7 8 9 10		Select the year 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

4. PRIOR WORK EXPERIENCE

From	To	Employer	Position	Salary	Reason for Leaving

5. REFERENCES (Business and Professional only)

Name	Designation	Institution/Organisation	Contact

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7. FILES

Educational Qualifications

Work Experiences

Curriculum Vitae

8. DECLARATION

I hereby declare and confirm that the information given in this form is true, complete and accurate; no information requested or other material information has been omitted. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated

Applying for Lecturer (Full-time)
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