Recent
APPLICATION FROM Passport Size Photo
I wish to apply for the post of_____________________in your
Bank and give below the necessary particulars:
1. Full Name: Mr. / Miss / Mrs. (In Block Letters)
___________________________________________________
(First Name) (Middle Name) (Surname)
2. Date of Birth: ___________________ Place of Birth: ___________________
(District & County)
3. Sex : Male/Female__________________
4. Nationality: ___________________
5. National I.D. Card:______________ Date & Place of Issue: ___________________
6. Passport No.: ___________________ Date & Place of Issue: ___________________
Driving Licence No.: _______________ Date & Place of Issue: ___________________
7. Mobile No._________________________Alternate Mobile No.____________________
E - Mail address:__________________________________________________________
8. Postal Address:
_______________________________________________________________________
9. Present Residential Address (Include Nearby Landmark):
________________________________________________________________________
10. Permanent Residential Address (Include Nearby Landmark):
________________________________________________________________________
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11. Education (starting with lowest standard) up to the present qualification.
Examination Name of Grade/ Marks Qualification Year of
Institution gained Passing
Primary School (KCPE)
(GCE)
Secondary School(KCSE)
Form VI / ‘A’ level
Undergraduate/Degree
Post Graduate
Professional Qualification
12. (a) Banking Related Qualifications:
___________________________________________________________________________
(a) Qualification in Computers:
___________________________________________________________________________
(b) Any other qualifications :
___________________________________________________________________________
(i) Work experience:
Employer Position Held Period Total Reason for
Emoluments leaving
13. Please give details of at least three persons who are known to you for a considerable
period for the purpose of reference. They, however, should not be your relatives.
Referee Details 1. Referee Details 2. Referee Details 3.
Name
Occupation
Position held
Organisation Name
& Address
Contact numbers:
E – mail
14. Marital Status : Unmarried /Married//Widow/Widower/Divorcee (Tick as appropriate)
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15. Name and Age of children (if applicable):
NAME AGE GENDER
16. (a) Father’s/Mother’s Full Name (In block letters):
________________________________________________________________________
(First Name) (Middle Name) (Surname)
Father’s/Mother’s Home Address:
________________________________________________________________________
His / Her Occupation, Office Address & Telephone number:
________________________________________________________________________
(b) Spouse Full Name (In block letters):
________________________________________________________________________
(First Name) (Middle Name) (Surname)
Spouse Occupation, Office Address & Telephone number:
________________________________________________________________________
Any additional information, if any, you want to furnish: ______________________________
*I affirm the above information supplied to you is true to the best of my knowledge.
**I authorise you to conduct my background check and allow you to share reports with my previous/
existing/future employer without any liability on you.
Signature of the applicant: __________________________________________
Date: _____________________ Place: _____________________________________
Encl: Copy of Aadhar Card , Education/Professional Qualifications & Work
Experience Proof.
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