Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL

NOT BE CONSIDERED
Attach photo
here

Your Name:
Position Applied:
Referred By:

Relation to Referrer:

Religion:
Sect : e.g. Catholic, SDA, Jehovah. Sunni, Shia, Hindu
Fathers Name:
Fathers place of employment:
Mothers Name :
Mothers Place of Employment:
Your I.D No:

Your Date of Birth:

ID Card Copy side A

Driving license no:

(attach a copy)
NSSF No:

ID Card Copy side B

Expiry date:

Driving Since:

NHIF No:

PIN Number
Tel Office:

Email address:

Tel Home:

Tel Mobile:

Next of Kin:

Place employed (next of kin):

Telephone No of Next of KIN

Social Networking
Facebook user name:
Twitter user name:
MSN Live user name:
Yahoo user name:

Your marital status:

No: of Children

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
Address details
P.O.Box
City
Box Code/Post Code
Name of Owner of Post Box
Flat/Hse No/Block No
Estate/Plot No
Street/Road/Lane
Town/City/Village
Tel
Hse:____________________________Tel
Residential
Status
(Tenant /Owner/ Mobile______________________
Roommate/Living In/ Guest/ Owner/Living w
Relative)
Education:
School/institution
Qualification/Result

Which Years attended

(Certificate scanned copy of your Certifications in Sage or Otherwise

attach them)
Are you still studying or intending to study further?
Course
1.
2.
3.
4.
5.
6.
7.

Institution

When (DD/MM/YYYY)

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
Personal References:
Name:
How related

Place of Employment:

Designation

1.
2
3
Have you committed any Police Offences: (y/n)

Provide

Details__________________________
Have you any legal matters pending : (y/n)

Provide Details

_________________________
Have you any labor legal matters pending : (y/n)

Provide details _________________

________
Do you have a CID Cert. of Good Conduct (Y/N)

(attach a copy)

Are you a member of any union Y/N

Provide

Details__________________________
Past employment Information:
Employer Name
Designation

Duration worked (dd/mm/yy to dd/mm/yy)

Current/Last Emolument Information: (you may be called upon to evidence

this via a payslip)
Salary Before Taxes you received

__________________________

Allowances amount You Received

__________________________

Perks Amount you Received

__________________________

Tax You Paid

__________________________

Benefits

Amount You Receive(d)

__________________________

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
Insurance benefits and Value you receive _________________________
Salary After taxes and deductions

_________________________

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
If you wish to declare your preferred remuneration, you may declare it
below
Salary After Taxes You expect
allowances/benefits/extras) OR

___________________ (excluding

Salary Before Taxes you Expect:

allowances/benefits/extras)

___________________ (excluding

Allowances value you expect

Type:______________

__________________________ Allowance

House Allowance you expect__________________________

Perks value you expect
type:__________________

__________________________ Perks

Benefits value you expect

_______________

__________________________ Benefits Type

Insurance benefits you expect

Type:_______________

_________________________ Insurance

What are you capable of performing without any supervision or training?

Are you insured in any way?

Are you a Member of any SACCO/CLUB/ASSOCIATION (if so, provide details)

Any Other Information you wish to declare: (personal/religious/social/professional)

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
Personal and employment Information
Why did you wish to leave your current employment? Please give reasons
otermination/resignation/detachment

Why did you leave your last employment or were you terminated? Please give
reasons of termination/resignation/detachment

What do you think you will gain in your new employment and what benefit will it give
you?

Are you of sound and good health? Do you suffer from any long term or recurring
illness?

Did you give your last employer a Termination notice period (Y/N) If yes, how many
days?

2 References from your Last employer(name, designation, tel no)

2 professional references from previous employers (name, designation, tel no)

2 other references (non-family) in Kenya (name, designation, tel no)

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
On your last employment, who were you reporting to and their telephone no.
contacts?
(name, designation, tel no)

Have you worked with targets? If so, what was your last target amount and what
%age did you achieve

Professional Information:
What is the ideal job title for a person with your skills and what role do you prefer to
have within your new employment

Give us Reasons for choosing your current career path

How do you rate your accounting knowledge(very poor, poor, average, good, very
good).
Is there any professional certification backing this knowledge?

On the job?
Have you worked in a support desk environment. If so, give a brief of the experience
undertaken?

Have you worked in an administrative environment. If so, give a brief of the

experience undertaken?

Have you worked in an accounts departments. If so, give a brief of the experience
undertaken?

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED

Have you worked in a Sales and marketing department. If so, give a brief of the
experience undertaken?

On a rating BETWEEN 1 to 10 (1 being Extremely poor, and 10 being Excellent), how

do you rate yourself in:
1. Social
2. Mental
3. Family
4. Wealth
5. Knowledge base
6. Friends
7. Educational
8. Health
9. Management
10. Professional
How many hours per week do you work?

What are your lifetime goals?

What/where would you like to be in 5 years from now?

What/where would you like to be in 3 years from now?

What is your most important current ambition?

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
What are you 3 most important and most pressing objectives?
1.
2.
3.

Personal Information and Job Interview Sheet

DO NOT LEAVE ANY AREAS BLANK OR YOUR APPLICATION WILL
NOT BE CONSIDERED
Why Should you be considered for this Opportunity?

Do you have letters of commendation from your past employer(s)?

If not, kindly specify why you dont have a letter of commendation.
if yes, please scan and send them with your application.
Any Other Information you wish to/should declare about yourself?
Are there any specific conditions that your new employer must meet?