Vacancies Please enable JavaScript in your browser to complete this form.123456789KCASB/001 COUNTY ASSEMBLY OF KILIFILayoutCOUNTY ASSEMBLY SERVICE BOARDAPPLICATION FOR EMPLOYMENT FORMVacancy applied forVacancy/PostVacancy NoKCASB/001KCASB/002KCASB/003KCASB/004KCASB/005NextPersonal DetailsTitle *Prof.Prof.DrMrMrsMissMsRevLayoutSurname *First Name *Other Name(s)LayoutDate of Birth *LayoutGenderMaleFemaleLayoutNationalityKenyanAfghanistanAlbanianAlgerianAndorranAngolanAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweID No/ Passport No *AddressPostal AddressPostal CodeLayoutCountyBaringoBometBungomaBusiaElgeyo-MarakwetEmbuGarissaHoma BayIsioloKajiadoKakamegaKerichoKiambuKilifiKirinyagaKisiiKisumuKituiKwaleLaikipiaLamuMachakosMakueniManderaMarsabitMeruMigoriMombasaMurang'aNairobiNakuruNandiNarokNyamiraNyandaruaNyeriSamburuSiayaTaita-TavetaTana RiverTharaka-NithiTrans-NzoiaTurkanaUasin GishuVihigaWajirWest PokotChoice 51DivisionAthi RiverChangamweDagorettiEldoret EastEmbu EastGarissaKajiado CentralKakamega CentralKangemaKapenguriaKericho EastKiambaaKilifi NorthKitaleKwaleLikoniMachakos CentralMakueniMandera EastMaraguaMarsabitMeru CentralMombasaMurang'aNairobi CentralNakuru Town EastNarok NorthNyeri CentralSiayaThika WestTurkana CentralWajir EastWestlandsLocationBondeniChalbiDagorettiEastleighEmbakasiGigiriGithuraiHurumaJamhuriKabeteKahawaKajiadoKakamegaKamukunjiKarenKasaraniKayoleKiberaKilimaniKilimambogoKisiiKisumuKituiLang'ataLavingtonLodwarLoreshoMachakosMakadaraMombasaNgongNakuruNyaliRoysambuRuiruRundaSouth CThikaUmojaWestlandsChoice 44Sub-locationKilimaniLavingtonKileleshwaKarenLang'ataKiberaRirutaDagorettiKawangwareWestlandsParklandsGigiriMuthaigaEastleighPumwaniHurumaMathareKariobangiDandoraEmbakasiDonholmPipelineSouth BSouth CImara DaimaUtawalaRuarakaKasaraniGithuraiZimmermanRoysambuMwikiRidgewaysRundaNyariLoreshoSpring ValleyMountain ViewKangemiMuguga GreenHighridgeKitisuruKongoweaKisauniNyaliBamburiMkomaniShanzuTudorTononokaGanjoniMajengoMakupaMvitaLikoniMtongweShika AdabuKwaleJomvuMiritiniChangamwePort ReitzChaaniMiritiniMikindaniMagongoChoice 70DivisionBahariBambaChonyiGanzeKaloleniKaumaMalindiMagariniRabaiSokoniVitengeniLocationKilifi TownshipChonyiBambaChasimbaGanzeKaloleniKayafungoKaumaMalindi TownGedeMarafaAduRabaiRurumaSokoniVitengeniSub-locationMtondiaTezoMatsangoniKibaraniDindoChasimbaChonyiPalakumiMavueniJaribuniBambaDungichaDzitsoniMnyenzeniGanzeMidoinaJilaKaloleniMariakaniTsangatsiniKayafungoMwanamwingaKaumaMwangeaShellaGandaKakuyuniGedeJimbaMarafaGarashiGongoniAduMambruiRabaiKambe-RibeRurumaMwawesaMnaraniKisumu NdogoNgolokoVitengeniMidoinaLayoutTelephoneMobile NoEmail *LayoutAlternative Contact PersonTelephoneLayoutPostal AddressPostal CodeTownBackNextApplicants in the Public Service onlyMinistry/Department/Other Public InstitutionsLayoutStationPresent Substantive PostJob Group (Grade):Effective dateLayoutTerms of Service: Permanent & PensionableContractPermanent & PensionableTemporaryCurrent employerPosition heldLayoutEffective dateMonthly Salary (KSh):BackNextOther DetailsLayoutIndicate the language(s) you are proficient inEnglishKiswahiliFrenchDo you suffer from any physical impairment? YesNoIf yes give detailsHave you ever been convicted of any criminal offences or a subject of probation order? YesNoHave you ever been dismissed or otherwise removed from employment? YesNoIf Yes, State reason (s) for dismissal/removalLayoutEffective dateHave you ever been interviewed by the Service Board (CASB) before? YesNoIf Yes, State the PostLayoutInterview date(Declaring the above information will not necessarily debar an applicant from employment in the County Assembly Service. Each case will be considered on its own merit)BackNextAcademic/Profession/Technical Qualification (Starting with the Highest)LayoutYearAward/Attainment (e.g. Degree, Diploma, CertificateInstitution/CollegeCourses (e.g. PhD, M.Sc, BA)Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Award/Attainment Institution/CollegeCoursesYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Award/Attainment Institution/CollegeCourses Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Award/Attainment Institution/CollegeCourses Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Award/Attainment Institution/CollegeCourses Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Award/AttainmentInstitution/CollegeCourses BackNextOther Relevant Courses and Training/Registration/ Membership to Professional bodiesLayoutYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Course (s)DetailsYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Course (s)DetailsYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Course (s)DetailsYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Course (s)DetailsBackNextEmployment Details (starting with the most recent)Employment DetailsYear1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Employer’s NamePosition/Rank/DesignationJob Group/Gross Monthly Salary (Ksh.)Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Employer’s NamePosition/Rank/DesignationJob Group/Gross Monthly Salary (Ksh.)Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Employer’s NamePosition/Rank/DesignationJob Group/Gross Monthly Salary (Ksh.)Year1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030Employer’s NamePosition/Rank/DesignationJob Group/Gross Monthly Salary (Ksh.)Briefly state your current duties, responsibilities and assignmentsPlease give details of your abilities, skills and experience which you consider are relevant to the position applied for.BackNextPersonal Referees (The names of staff or Members of the Board (CASB) should also not be used).1. Full NameLayoutAddressMobileE-mailLayoutOccupationPeriod for which he/she has known you2. Full NameLayoutAddressMobileE-mailOccupationPeriod for which he/she has known youBackNextDeclarationI hereby certify to the best of my knowledge that the particulars given on this form are correct and I understand that any incorrect information may lead to disqualification/legal action.LayoutDateSignature of the Applicant . Digital signature Click or drag a file to this area to upload. Resume , Certificates and other documentsSubmit
