KMFRI_Job_Application_Form_Jan_2023

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KENYA MARINE AND FISHERIES RESEARCH INSTITUTE (KMFRI)

KMFRI JOB APPLICATION FORM

Please complete all sections of this form in BLOCK letters, scan the Job Application Form,
attach testimonials, certificates, copy of their National Identification Card (ID) and
Curriculum Vitae (CV).and send to recruitment@kmfri.go.ke
and submit HARD COPIES addressed to: -
The Director General
Kenya Marine and Fisheries Research Institute
P.O Box 81651 – 80100
MOMBASA, KENYA

1. Vacancy applied for …………………………………………… Job Reference No:……………………………………………………

2. Personal Details of the applicant

Surname First Name Middle Name Title (Mr., Ms, Mrs.,


Dr., Prof etc.)

Date of Birth ID/PP No. KRA Pin No Nationality Home County Gender
(DD/MM/YYYY)

Tel. /Mobile No. Postal Address Email Marital Status

Name of Alternative Contact Tel. No.


Person

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Are You Living with Disability? If Yes State Registration Number & Nature of Disability
Date with National Council For
(Yes/No)
Persons With Disability

3. Other Personal Details

Have you ever been convicted in a court of law?

Yes No
.
If yes, state the nature of offence, the year and duration of conviction

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

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

Have you ever been dismissed or otherwise removed from employment?

Yes No

If yes, state reasons for dismissal/removal

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

Effective date……………………………………………………………………………………………………………………………….

(Declaring the above information will not necessarily debar an applicant from employment in KMFRI. Each
case will be considered in its own merit)

4. Academic Qualifications (Starting with the Highest)

Year University/High Award/Attainment Specialization/Subject Class/


School (e.g. PhD, Masters, (E.G. Econ, Maths, Grade
Bachelors, Post Sociology Etc.)
Graduate Diploma,
Diploma, KCSE)

FROM TO

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5. Professional/Technical/Certifications Relevant to the post (Starting With The Highest)

YEAR Institution Award/attainment Specialization/Subject Class/


(e.g. Higher Diploma, (e.g. Human Resource, Grade
Diploma, certificate) Engineering,
Counselling etc.)

FROM TO

6. Relevant Courses And Training Lasting Not Less Than One (1) Week

Year University/College/Institution Name of Course Details and Duration

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7. Current Registration/Membership to professional Bodies
Professional Body Membership/Registration Membership type (e.g. Date of
No. Associate, Full etc.) Renewal

8. Employment Details – Where applicable (starting with the current or most recent)
Year Designation/Position Job Group/Grade Gross Monthly Institution/Organization
Salary (Kshs.)

9. Briefly state your current duties, responsibilities and assignments (if any)

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

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

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

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

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

10. Please give details of your abilities, skills and experience which you consider relevant to the
position applied for. This information may include an outline of your recent achievements and your
reason for applying for this post.

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

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

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

11. Referee (People who have interacted with you professionally)

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1. Full Name ………………………………………………………………………………………………………………………………………

Occupation ……………………………………………………………………………………………………………………………………

Address……………………………………… Post Code………………………………………City/Town…………………………

Mobile No……………………………………..Email address…………………………………………………………………………

Period for which the referee has known you …………………………………………………………………………………

2. Full Name ………………………………………………………………………………………………………………………………………

Occupation ……………………………………………………………………………………………………………………………………

Address……………………………………… Post Code………………………………………City/Town…………………………

Mobile No……………………………………..Email address…………………………………………………………………………

Period for which the referee has known you …………………………………………………………………………………

3. Full Name ………………………………………………………………………………………………………………………………………

Occupation ……………………………………………………………………………………………………………………………………

Address……………………………………… Post Code………………………………………City/Town…………………………

Mobile No……………………………………..Email address…………………………………………………………………………

Period for which the referee has known you …………………………………………………………………………………

12. Declaration

I certify that the particulars given on this form are correct and understand that any
incorrect/misleading information may lead to disqualification and/or legal action.

Date……………………………………………………… Signature of the applicant………………………………………………….

Please take note that all communication to potential candidates is specifically through the
following email address:
recruitment@kmfri.go.ke
Any form of canvassing will lead to immediate disqualification. Only short-listed candidates will be
contacted

KMFRI is an Equal Opportunity Employer

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