P.C.E.A Kikuyu Hospital
P.C.E.A Kikuyu Hospital

PCEA KIKUYU HOSPITAL
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Online Recruitment Application Form

The Fields marked in RED are Required!
1. Vacancy Applied For
Vacancy /Post:      
2. Personal Details
Applicant Name:   Other Names:
Title:   Marital Status:
Date of Birth   Click icon to select date   Gender
Nationality   ID /Passport No:
Phone Number:   Email
Address   Postal Code
County:   Subcounty
Next of Kin Name:   Next of Kin Phone Number:
3. Academic/Professional/Technical Qualifications (starting with the Highest)
Date From: Date To: Insitution (eg. University, College, School): Award/Attainment (eg. Degree, Diploma, Certificate) Level (eg. PHD, MSC, BA): Speciality (eg. Econ, Maths) Details (eg. Class/Grade):
Add Row           Delete Last 
4. Relevant Registration/Membership to professional Bodies/Institutions
# Professional Body/Association/Licence: Membership Number: Year Registered: Upload Document:
Add Row     Delete Last 
5. Previous Employment Details (starting with the most recent)
Date From: Date To: Employer's Name Position/Designation Gross Monthly Pay (Kshs) Employer Email Employer Phone
Add Row           Delete Last 
6. Profile Summary
Briefly state your current duties, responsibilities and/or assignments
Please give details of your abilities, skills and other experiences which you consider as relevant to the position applied for. The information may include an outline of your most recent achievements and your reasons for applying
7. Personal Referees (One of which must be Spiritual leader)
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
       
       
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
       
       
Full Name Occupation Relationship with Referee Years Known to Referee
Address Telephone No Email  
 
8. Other Details
Availability   Expected Salary (KShs):
 
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