GOVERNMENT OF THE BAHAMA ISLANDS PSC Form 7 PUBLIC …

[Pages:4]GOVERNMENT OF THE BAHAMA ISLANDS

PUBLIC SERVICE COMMISSION

APPLICATION FOR EMPLOYMENT

PSC Form 7

Form to be filled in duplicate by applicant in his/her own hand writing and returned to the Public Service Commission, P. O. Box 1418, Nassau, Bahamas.

NOTE: If applying for a post as a teacher, you must complete form PSC 7A instead of section 4, 5 and 6 of this form.

Mr.

Full Name Surname

Mrs. Miss

1 (Surname first in BLOCK letters)

Middle Name

Sex Address (Give present residential address as well as P.O. Box Number, if applicable).

First Name

Telephone Number

E-Mail Address

Profession or Occupation

Religion

Nationality

Previous Nationality if any

Other residential addresses in Country of domicile during last ten years with dates

Residential addresses outside Country of domicile at any time, for more than twelve months with dates

2. Date of Birth (dd/mm/yyyy)

(A copy of Birth Certificate must be supplied.

Age Last Birthday

Country of Birth

State whether single, married, widowed, divorced, or separated Wife's and/or former wife's maiden name (in full) Date of birth of wife and/or former wife (dd/mm/yyyy)

Country of birth of Wife and/or former wife name (in full) Husband's and/or former husband's name (in full)

Date of birth of husband and/or former husband (dd/mm/yy) Country of birth of husband and/or former husband name (in full) Husband's/wife's present occupation and name and address of employer

Number of children (Give details below)

Full Names

Sex

Date of Birth

Country of Birth

3. Applicant's father name (in full) Father's date of birth (dd/mm/yyyy) Father's address Father's nationality Applicant's mother maiden name (in full) Mother's date of birth (dd/mm/yyyy) Mother's address

Father's country of birth Profession or Occupation Mother's country of birth

Mother's nationality

Profession or Occupation

If either parent or both is / are dead, this should be indicated: but the above information should nevertheless be given.

NOTE: If you are applying for a post as a teacher, please ignore sections 4, 5, and 6 and complete form PSC 7A which is attached.

4. EDUCATION Mention the schools or colleges at which you received your education, professional as well as general; and give in each case the date of entry and leaving with diplomas or degrees.

School(s) College(s)

Entry & Leaving Date Diploma(s) Degree(s)

5. Professional qualification (if any), and the date it was obtained.

Professional Qualification(s)

Date Obtained

6. Employment from completion of education to present time.

Mention each position held by you, the dates between which you held it, the cause of leaving and the salary you are now receiving.

Employer

Positions Held

Dates of Employment

7. Position applying for.

8.

Are you prepared to work on a Family Island (rural area)?

9.

Date on which you are available to commence duty.

Give particulars of any physical impairment 10. from which you may have suffered (nervous

breakdown, neurasthenia or similar trouble should be mentioned).

11.

State whether you possess any knowledge of languages other than English.

12.

Navy, Army or Air Force (answer yes or no)

Serrvice

(if

any).

13. Have you ever been convicted by any Court in The Bahamas or elsewhere? If so, give particulars. (answer yes or no)

14. Have you previously applied for employment under any other Government Department? If so, please give details.

15 Have you ever been dismissed, or otherwise removed from Government Service? If so, give details. (answer yes or no)

16. TESTIMONIALS

Give the name, address and occupation of not less than three and not more than six persons to whom reference can be made by the Commission or Ministry on your behalf. (One of whom must be your last employer.) If the applicant does not desire his present employer to be approached, he should say so. Such a report may be required before a final decision on the application is made, but it will not be sought without first obtaining permission. Applicants for teaching position must supply two written testimonials in addition to the names.

17. You are required to paste below an unmounted photograph of yourself. (Any photograph of recent date which provides a good likeness is sufficient).

Place Photo Here

18. I declare that the particulars contained in this application, including the information contained in PSC Form 7A (where appropriate) are true and correct. I understand that if these particulars are false in any material respect, I may render myself liable to dismissal.

Date

Signature of Applicant

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