RECRUITMENT APPLICATION FORM - Personal Details - Educational Background - Employment History - Disciplinary/Convictions - Medical History - Referees - Additional Information - Declaration

Sep 19, 2026

Upload by Kurz

Recruitment application form for the Republic of Kenya Police recruitment process, requesting applicants to submit two copies and complete all sections. It collects personal details matching ID records, including contact, demographics, and recruitment centre information. The form includes sections for educational background, employment history, disciplinary and conviction history, medical disclosures, referee nominations, additional language/skills information, and a declaration authorizing the commission to contact referees.

LanguageEnglish

CategoryResumes

FormatPDF

Pages5

Reading Time2 min

AccessFree to download

SECTION 1: PERSONAL DETAILS

SECTION 2: EDUCATIONAL BACKGROUND

SECTION 3: EMPLOYMENT HISTORY

SECTION 4: DISCIPLINARY/CONVICTIONS

SECTION 5: MEDICAL HISTORY

SECTION 6: REFEREES

SECTION 8: ADDITIONAL INFORMATION

DECLARATION

Police REPUBLIC OF KENYA RECRUITMENT APPLICATION FORM 􀁸 Please fil 2 copies of this form in neat BLOCK leters 􀁸 Do not leave any section blank, sections that do not apply should be marked N/A 􀁸 Submit duly completed forms to the recruitment panel atthe National Police Service Recruitment Center on the recruitment on the date of the recruitment exercise 2021.. SECTION 1 : PERSONAL DETAILS Name of applicant: ……………………………….….…………..………….…..……..……………………… (Surname) (First Name) Other Name(s) Title: ……………………………………….………. Gender: Male Female (Mr/Mrs/Miss/Ms) Nationality ………………..……………………….. ID/NO: ……………………………………………... Tribe The following details should be entered exactly as they appear on your ID. County ……………………Sub-County…………………………… Division …………………. Location Sub-Location Recruitment Centre……………………………….. Constituency of Recruitment………………………… Dateof Birth (dd-mm-yyyy) Age ……………………. Weight (kgs)……………………. Height …………………….. Current Physical Address………………………………………………………………………………………… Mobile Number: Email Address: Alternate Contact person Name Relation: Physical Address: …………………………………………………………………………………….............. Mobile Number: Email Address: SECTION 2: EDUCATIONAL BACKGROUND (starting with the highest) | School/ College /University/ Institution e.t.c | Duration | | Award / Attainment (Degree, diploma, certificate ) | Course Undertaken | Grade Attained | | --- | --- | --- | --- | --- | --- | | | From | To | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | SECTION 3: EMPLOYMENT HISTORY (starting from the recent) | Employer’s name | Duration | | Position Held | Monthly gross salary | | --- | --- | --- | --- | --- | | | From | To | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | SECTION 4: DISCIPLINARY/CONVICTIONS Tick on the box provided where applicable Have you ever been dismissed or otherwise removed from employment? Yes No If Yes, State reason (s) for dismissal/removal effective date (dd-mm-yyyy) Do you have any criminal charges pending and/or awaiting hearing in court? Yes Have you ever been convicted of any criminal offence? Yes If yes please tabulate in the table below: No No | Offence | Year of Conviction | Detail of fine/
supervision/Imprisonment | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | SECTION 5: MEDICAL HISTORY Do you have an injury or psychological or medical condition, disease or infection (e.g. hearing loss) or anyother disability, which may affect your ability to perform the duties of the position satisfactorily? If yes, please provide details and describe any facilities, technical aids, equipment or adaptations to the workplace that you would require to satisfactorily carry out the duties of this position. …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… SECTION 6: REFEREES Please indicate the name, position and telephone numbers of THREE people you would like to nominate as referees in support of your application (e.g. chief, the principal of your immediate former school, recognized professional) . The referees will need to be able to talk to us about your suitability for this position. Referees maybe contacted at any time after the short-listing phase. (By signing the declaration at the end of this application form you are authorizing the Commission to contact these refereesand acknowledging that the information they provide will be supplied in confidence as evaluative material. (the person(s) nominated must NOT be a relative) . | | Name of Referee | Referee’s phone number | Position Held by Referee or Relationship to Applicant | | --- | --- | --- | --- | | 1 | | | | | 2 | | | | | 3 | | | | SECTION 8: ADDITIONAL IN

FAQs

How many copies must be submitted and what instructions apply to completion?

Submit two copies of the form. Complete every section; sections not applicable should be marked N/A.

What information must applicants provide exactly as shown on their ID?

The form requires entering the details exactly as they appear on the applicant’s ID, including county, sub-county, division, and related identification fields.

What does the declaration authorize and what are the consequences of incorrect information?

By signing, applicants authorize the selection panel to contact nominated referees and acknowledge the confidentiality of evaluative information. The form warns that incorrect, misleading, or omitted information may lead to disqualification or dismissal if appointed.

Sep 19, 2026

Upload by Kurz