To submit this form, ensure it is fully completed and signed. You can submit it by emailing it to the relevant department at example@email.com or fax it to (123) 456-7890. For physical submissions, mail it to the Public Service Commission Office, 123 Government Rd, City, State, ZIP.

Important dates regarding the submission of this form include the application deadline, examination date, and notification date. For 2024, the application deadline is December 15, and exams will be held on January 10, 2025. Ensure you stay updated on any changes to these crucial dates.

The purpose of this form is to formalize the application process for candidates interested in public service commission examinations. It collects essential information to assess candidate eligibility and readiness for the examination. Accurate completion of this form is vital for timely processing and consideration of applications.

• 1. Surname: The family name of the applicant.
• 2. Other Names: The first name(s) of the applicant.
• 3. Staff ID Number: The unique identification number assigned to the staff member.
• 4. Present Department/District: The current department or district where the applicant works.
• 5. Present Grade: The current employment grade of the applicant.
• 6. Date of Appointment/Promotion: The date when the applicant was appointed or promoted.
• 7. Subjects Passed in Previous Sitings: A list of subjects the applicant has successfully completed in earlier examinations.
• 8. Grade for which Application is Made: The examination grade the applicant is applying for.
• 9. Index Number(s) of Previous Sitting(s): Reference numbers for previous examinations attended.
• 10. Examination Centre Selected: The preferred venue for the examination.
• 11. Applicant's Signature: The signature of the applicant affirming the accuracy of the information.
• 12. Certification by Head of Department: A section for the applicant's supervisor to certify their eligibility.

Failing to submit this form can severely impact your eligibility for the examination. It may result in missed opportunities for promotion or application to public service positions. Ensure that all required documents and the completed form are submitted on time.

• Missed Application Deadlines: Not submitting the form may lead to missing critical application deadlines.
• Ineligibility for Examination: Incomplete submissions can render candidates ineligible to sit for the examination.
• Lack of Certification: Missing the head of department's certification may invalidate your application.

• 1. Government Job Applications: Use this form to apply for various government positions.
• 2. Promotion Applications: Current employees may use this to apply for promotions.
• 3. Examinations for Qualification: Individuals should submit this when entering qualification exams.