TS.FORM 2 50m B3426/ 77P/ F2 Ref er enceNo: ……………………………………. . TEACHI NGSERVI CE APPLI CATI ONFORAPPOI NTMENTTODI VI SI ONI I / I I IOFTHESERVI CE PARTI ( t obecompl et edbyal lappl i cant si nt r i pl i cat e) A. Per sonaldet ai l s( al l r el ev antsect i onst obecompl et ed) : or der l y 1. SURNAME:( MR/ MRS/ MI SS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. CHRI STI ANNAMES, i nf ul l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 1and2t obecompl et edi nbl ockcapi t al s) 3. Dat eofBi r t h: ……………………………………………… 4.Pl aceofBi r t h: …………………………… 5. Rel i gi ousDenomi nat i on: ……………………………… 7. Chi l dr en 6.Mar i t al St at us……………………………… Mal e…………………………………………… Aged……………………………………y ear s Femal e……………………………………… Aged……………………………………y ear s 8. Nat i onal i t y………………………………………………… 9.Passpor t / NRCNo………………………… 10.Tr i be: ………………………………………………………… 11.Chi ef : ………………………………………… 12.Vi l l age: ……………………………………………………… 13. Di st r i ct : …………………………………… B. Educat i onandTr ai ni ng: DATES Fr om WHEREEDUCATEDANDTRAI NED Mont h To Year Mont h Year STANDARDPASSED CERTI FI CATE/ SOBTAI NED ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………… c. Pr ev i ousExper i ence: NAME( S) OF PREVI OUSEMPLOYER/ S DATES Fr om POSI TI ON/ SHELD Mont h Year Mont h To Year REASONSFORLEAVI NG ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………… D. If ul l yunder st and( a) ThatunderTSRegul at i on37, Iwi l l bepost edwher eIam neededandnotnecessar i l yt ot hePr ov i nceofmychoi ce; ( b) Thatasamemberoft het eachi ngSer v i cemyof f i ci al namesandt heonl ynamest obeusedbymewi l l bet heonesont hi s f or m Appl i cant ’ ssi gnat ur e: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * Af emal eempl oy eewhomar r i esdur i ngt hecour seofherser v i ceandi sr eengagedwi l l ofcour set akehermar r i ednameonr eengagement . PARTI I ( Tobecompl et edbyaMedi cal Pr act i t i oner ) Ihav eexami ned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . andf i ndhi m/ herf i tf orf ut ur eempl oy mentasa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remar ks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gnat ur eofMedi calPr act i t i oner *I nt hecaseofanappl i cantwhoi snotcompl et i ngacour seofTeachert r ai ni ng.Thi scer t i f i cat emustbecompl et edbef or e appr ov alf ort heappoi nt mentoft heappl i canti ssought .I nt hecaseofanappl i cantwhoi sat t endi ngaTeacherTr ai ni ng Col l ege, t hecer t i f i cat emustbecompl et ednotear l i ert hatsi xmont hsandnotl at ert hanonemont hbef or et heappl i canti sdue t ocompl et et hecour seoft r ai ni ng. PARTI I I ( Tobecompl et edbypr ospect i v eempl oy er ) 1. 3. 4. 5. Pr oposedappoi nt ment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.Pr oposedSal ar y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pr oposeddat eoff i r stappoi nt ment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tof i l l v acancy / newpostat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .school Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gnat ur e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PARTI V Theappoi nt mentoft heabov enamedt ot hepostof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i nDi v i si onoft heSer v i cewi t hi ni t i al sal ar yatt her at e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . perannum i nt hescal e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i sappr ov edwi t hef f ect Fr om . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Theappl i canti st obeappoi nt ed*onpr obat i on/ asat empor ar yempl oy ee. Fut ur ei ncr ement al dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Per manentSecr et ar y *Del et easappr opr i at e Mi ni st r yofEducat i on PARTV ( Tobecompl et edbyst udent si nTeacherTr ai ni ngCol l eges) Iam at t endi ngt he. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cour seat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tr ai ni ngCol l ege Languagesspoken( f ort eachi ngpur poses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AgencyandPr ov i ncepr ef er r ed, f orf i r stpost i ng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reasonsf orchoi ceofAgencyandpr ef er r ed, f orf i r stpost i ng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mysecondchoi cei s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gnat ur eofSt udent PARTVI ( Tobecompl et edbyt hePr i nci pal oft heCol l ege) Ihav echeckedt heent r i esont hi sf or m wi t ht hest udentandIcer t i f yt hatt ot hebestofmyknowl edget heyar ecor r ect . Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TSFor m 3( Rev . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gnat ur eofPr i nci pal TEACHI NGSERVI CE LETTEROFAPPOI NTMENT St ockedbyMi nofEducat i on 20m A71/ 80P/ F2 St af fTSNo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PARTI To:Mr . / Mr s. / Mi ss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( Sur name) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( For enames) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.Youar eappoi nt edasa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i nDi v i si on ONE, TWOORTHREEoft heZambi aTeachi ngSer v i cewi t hef f ectf r om. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 19. . . . . . . . . . . . . , *onpr obat i on/ t empor ar i l y / asaconf i r medempl oy ee. 2.Yourcommenci ngSal ar yi satt her at eof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ay eari nt hescal e. . . . . . . . . . . . . . . . . . . . . Andy ouri ncr ement al dat ei s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Youar epost edt o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . school underManagerGr oupNumber . . . . . . . . . . . . . . . . . . AndPayPoi ntNumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.Youar eex pect ed, sol ongasy ouar ei nt heSer v i ce, t oser v et hey out hoft hecount r yt ot he Bestofy ourabi l i t yandt ouphol dt hehi ghestst andar dsoft het eachi ngpr of essi on 5.i fi ti sf oundt haty ouar eunabl et oper f or m ef f i ci ent l yt hedut i esofy ourappoi nt ment , ori f Umi sconducty our sel f , y oumaybedi schar gedat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . not i ce. 6.Youmaybedi smi ssedwi t houtnot i cei fy our epeat edl yorser i ousl ymi sconducty our sel fori f i ti sf oundt haty ouar ei nef f i ci entowi ngt onegl i genceori dl eness. 7.i fy ouwi sht or esi gny oumustgi v e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . not i ce. 8.Youar el i abl et oser v ei nanypar toft hecount r y . 9.Thepr ov i si onsoft heZambi aTeachi ngSer v i ceRegul at i onsandt heZambi aTeachi ngSer v i ce Pensi onsRegul at i onsappl yt oy ou. 10.Speci al Condi t i onswhi chappl yt oy ourappoi nt menti naccor dancewi t ht hepr ov i si ont o r egul at i on4oft heZambi aTeachi ngSer v i ceRegul at i onsar eat t ached. 11.Youar eexpect edt opassanef f i ci encyBarExami nat i onbef or et he. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . . . . . . . . . . . . . f ai l ur et opasst heexami nat i onbyduet odat ewi l l r esul ti nt hewi t hhol di ngof i ncr ement sandmayl eadt oy ourbei ngdi schar gedf r om t heSer v i ce. APPLI CABLEONLYTOTEACHERSONTEMPORARYTERMSOFSERVI CEONLY 12.I nt heev entofy ourmar r i agei nt er f er i ngi nanywaywi t ht heper f or manceofy ourdut i est he r i ghti sr eser v edt ot er mi nat ey ourappoi nt mentwi t houtnot i ce. 13.Quar t er swi l l / wi l l notbepr ov i ded. Pl aceofengagement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dat e: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For / Per manentSecr et ar y , Mi ni st r yofEducat i on * Del et ei fnotappl i cabl e PARTI I Mar i t al St at us: Mar r i ed/ Si ngl e/ Mar r i edWoman. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nat i onal Regi st r at i onNo.andDat eofBi r t h. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Qual i f i cat i ons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BLOCK LETTERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cer t i f i cat eNos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Col l egeatwhi cht r ai ned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pl easei nser ti nt heboxbel owanypay ment smadel ocal l y . Dat eofPay ment Amount K Tot al . . . . N . . Cer t i f i edCor r ect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Desi gnat i on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( mustbeadul yaut hor i zedappoi nt i ngof f i cer ) PARTI I I Ihav er ecei v edt heor i gi nal oft hi sl et t erandacopyoft heZambi aTeachi ngSer v i ceRegul at i ons Andagr eet oacceptt het er mst her eofandt odomyut mostt ouphol dt hehi ghestat t endanceoft he t eachi ngpr of essi on. Dat e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Si gnat ur eofEmpl oy ee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NBTeacher sar er emi ndedt ocompl et eTSf or m 26i nr espectofanyGov er nmentorLocal Gov er nmentaccommodat i on al l ocat edt ot hem. I fsal ar ypay ment sar er equi r edt hr oughabankorbui l di ngsoci et y , mandat et ot hi sef f ectt obecompl et edandat t achedt o t hi sl et t er . DI STRI BUTI ON–ORI GI NAL:Toempl oy ee. DUPLI CATE:Tober et ai nedbyempl oy er . TRI PLI CATE:Pr ov i nci al Recor d. QUADRUPLI CATE:ToMi ni st r yHeadquar t er s QUI NTUPLI CATE:ToMechani sedSal ar i esSect i on, Mi ni st r yHeadquar t er s. REPUBLI COFZAMBI A TSC For m1 20cm B2006/ 81P/ F4 TEACHI NGSERVI CECOMMI SSI ON Appl i cat i onf orappoi nt mentt ot heTeachi ngSer v i ce For mt obecompl et edi nquadr upl i cat ebyt heappl i canti nhi sownhandwr i t i ngandr et ur nedt ot heSecr et ar y ,Teachi ngSer v i ce Commi ssi on,P. O.Box33644,Lusaka.Fai l ur et ocompl ywi t ht hei nst r uct i onsont hef or m mayser i ousl ydel ayconsi der at i onoft he appl i cat i on.Ev er ysect i onmustbecompl et ed; i fspacei si nsuf f i ci ent , par t i cul ar sshoul dbecont i nuedonasepar at esheetofpaper Candi dat eshoul dcl ear l yunder st andt hatt heTeachi ngSer v i ceCommi ssi onwi l lnotconsi dert hei rappl i cat i onf orappoi nt mentunt i li t i spossessi onofaccept abl eev i denceoft hei rhi ghesteducat i onalat t ai nmentandt est i moni al st ocov erst ageoft hei rcar eersi nce l eav i ngschool . 1.APPOI NTMENTDESI RED.( i . e.Pr i mar y , Secondar y , Techni cal , TeacherTr ai ni ng, et c) Post 3.PERSONALDETAI LS.( Al lr el ev antsect i onst obecompl et ed) SURNAME MR.MRS.MI SS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BLOCK MAI DENNAME( Mar r i edwomenandwi dows). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CAPI TALS CHRI STI ANNAMESi nf ul l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ADDRESS( a)Resi dent i al. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( b)Post al…………………………………………………………………………………………………………………………. ( Al lcommuni cat i onwi l lbesentt ot hi saddr essunl essachangeofaddr essi snot i f i edi nwr i t i ng) Dat eofBi r t h Agel astBi r t hday Pl aceofBi r t h Nat i onal i t y wi dowed Whet herSi ngl e Passpor tNo.andpl aceofi ssue Nat i onal Regi st r at i onNo. ( Abi r t hcer t i f i cat emustbef ur ni shedi fav ai l abl e; i twi l l r et ur ned) Rel i gi ousDenomi nat i on……………………………………………………………………………………………………………………………………………………… Numberof Sons Agedr espect i v el yy ear s Chi l dr en Daught er s Agedr espect i v el yy ear s Name Nat i onal i t yatBi r t h Pl aceofBi r t h Occupat i on Fat her………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………… Mot her………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………… * Wi f e/ Husband…………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………… * Mai dennamemustbegi v eni ncaseofMot herandWi f e.I fdead, t heabov equest i onsshoul dnev er t hel essbeanswer ed. Addr essofFat her( i fl i v i ng) ………………………………………………………………………………………………………………………………………………… I fansweri s‘ Yes’ st at er esi dent i al addr essesi nZambi adur i ngt hatper i od. Dat es Hav ey our esi dedi nZambi a Atanyt i medur i ngt hepast Thr eey ear s! Yes or No Hav ey oupr ev i ousl ybeenanappl i cantf or empl oy menti n…… Fr om YesofNo To Addr ess I fanswert o( a) , ( b)or‘ Yes’ , gi v epar t i cul ar s Mar r i ed, ordi v or ced ( a) Thi scount r yi nt heTeachi ngSer v i ce‘ ’ ( b) TheZambi aCi v i l Ser v i ceorZambi a Pol i ce. . . . . . . . . .. .. . ( c) Theser v i ceofanyot herGov er nment. . Knowl edgeofLanguagesot hert hanEngl i sh Language Abi l i t yi nEngl i sh Fl uency Wr i t t en Spoken 4. EDUCATI ONALRECORD ( a) SCHOOLS Dat es Fr om Exami nat i onspassed, Cer t i f i cat esandany di st i nct i onsgai nedi nschool wor k NameandPl aceofSchool To ( b) UNI VERSI TY/ TEACHERTRAI NI NGCOLLEGE( orot heri nst i t ut i on) Teachi ngSubj ect sOf f er ed Dat es Fr om To Uni v er si t y / TeacherTr ai ni ng Subj ect sr ead, Schol ar shi ps Col l eges, e.t .c. hel dorpr i zeswon Subj ect s Degr ee, Di pl omaorPr of essi onalQual i f i cat i on Dat eobt ai ned Atwhatl ev el of f er ed ( e, g, Pr i mar y , Juni or Secondar y , ‘ O’ l ev el , ‘ A’ l ev el ) Resul torCl assobt ai nedi neachpar tofcour se ( i fcour senoty etcompl et ed, gi v epar t i cul ar sanddat eoff i nalexami nat i on) 5. PREVI OUSTEACI NGRECORD ( Fr om compl et i onofeducat i ont opr esentt i me) Dat es NameandBusi nessofEmpl oy er Fr om To Addr ess Posi t i onhel d Reasonf orl eav i ng Not e–i ti si mpor t antt hatf ul l det ai l s( i ncl udi ngdat es)ar egi v enast hi smayaf f ectt heassessmentoft hest ar t i ngsal ar y .Document ar ypr oofmustbe suppl i edt osubst ant i at epr ev i ousexper i encef ori tt oqual i f yf ori ncr ement al . Sal ar yi npr esentempl oy ment( ori nl astempl oy menti fnotpr esentempl oy ed)K. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . perannum. I ft hewhol eofy ourcar eer , i ncl udi ngeducat i on, I snotaccount edf orbyy ouranswer st osect i ons 3, 4and5, gi v ef ur t herdet ai l st oaccountf or Gaps 6. HEALTH. YesorNo I fansweri s‘ No’ , gi v epar t i cul ar s Ar ey oust r ong, act i v e, andf r eef r om Bodi l yi nj ur yordef ect ? Hav ey ousuf f er edf r om YesorNo 1fansweri f‘ Yes’ , gi v epar t i cul ar s YesorNo 1fansweri f‘ Yes’ gi v epar t i cul ar s ( a) Epi l epsyorf i t s. .. . ( b) Neur ast heni a . .. . ( c) St omachul cer s . . . . ( d) I mpedi menti nspeech. . ( e) Anyot herser i ousi l l ness? Hav ey ouev erl ef templ oy ment Formedi cal r easons? 7. CHARACTER. Hav ey ouatanyt i me( s) Yes or No beenCONVI CTEDorFOUNDGUI LTYofanyof f encebyaCour tMar t i al ?. . . . . . . . ( Of f encesdi sposedofbysi gnat ur eofan‘ Admi ssi onofGui l t ’ wi t houtappear ancebef or eaCour tneednot Bement i oned. ) hadasummonsorchar geagai nsty oudi smi ssedunderanyPr obat i onofOf f ender sorsi mi l arOr di nanceof Act ? . . . . . . . . . . . . . . . . . . ( b) ( c) BeenBoundOv erorpl acedonPr obat i onwi t houtconv i ct i onf ornayof f ence ( d) Hadasummonsi ssuedagai nsty ouoranychar gebr oughtagai nsty oui nr espectofnayof f encewhi chhas Noty etbeendi sposedof ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ft heanswert ooneormor eoft hesect i onsabov ei s‘ Yes’ , par t i cul ar sofal l of f encesmustbegi v en Gi v ei nBl ockl et t er st henamesandaddr essesoft wor ef er eesast ochar act erwhohav egi v enper mi ssi onf ort hei rnamest obeused.Theyshoul dbe r esponsi bl eper sonswhoknowy ouwel l , ei t heri npr i v at el i f eori nbusi ness, andone, atl east , shoul dbewel l acquai nt edwi t hy oui npr i v at el i f e.The namesofr el at i v esmustnotbegi v en. 1. Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Addr ess. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Addr ess. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupat i on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupat i on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Per i odhehasknowny ou. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Per i odhehasknowny ou. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. WHENAVAI LABLE. I fy ouar epr esent i fy ouar enoti n I nempl oy ement , what empl oy ment , when Per i odofnot i cewoul d coul dy out akeup Yourempl oy err equi r e? Appoi nt ment ? 9. DECLARATI ON Idecl ar et hatIhav eanswer edt hesequest i onst r ut hf ul l yandexact l yandt hatIam notawar eofanyci r cumst ancesnotdi scl osedi nt hese answer swhi ch, i fknown, mi ghtr i sedoubt sast omyhonest y , sobr i et yorf i t nessf orappoi nt mentt ot heTeachi ngSer v i ce.Iunder st andt hati fIam appoi nt edt ot heTeachi ngSer v i ceandt hi sdecl ar at i onoranyoft hepar t i cul ar sf ur ni shedbymear esubsequent l yf oundt obef al sewi t hi nmyown knowl edge, Ishal l bel i abl et odi smi ssal . Appl i cant ’ susual si gnat ur e………………………………………………… Dat e………………………………………………………… STAFor m1 REPUBLI COFZAMBI A MI NI STRYOFEDUCATI ON, SCI ENCE&VOCATI ONALTRAI NI NG MOESVTSTATI STI CALTEACHERAPPLI CATI ONFORM 1 t eacher sf r om I nst r uct i ons: i ) Thef or m mustbecompl et edi n4copi esbyal l qual i f i edt r ai ned t her ecogni zedUni v er si t i esandCol l eges i i ) Theappl i cat i onf or m mustbesubmi t t edt ot heDEBSof f i ces i i i ) Ev er y t hi ngmustbei nCAPI TALl et t er s 1. 0PERSONALI NFORMATI ON 1. 1 Sur name Ot herNames 1. 2 Nat i onal Regi st r at i onCar dNo. Gender Nat i onal i t y Dat eofBi r t h 1. 3 Pl aceofBi r t h Vi l l age Town/ Ci t y Di st r i ct Pr ov i nce 1. 4 Languages( s) spoken 1. 5 Col l ege/ Uni v er si t y Mar i t al st at us Chi l dr en Cont actNo: Numberof Ot her( Count r y ) Anydi sabi l i t y Qual i f i cat i onobt 0ai ned 1. 6 Ar eaofspeci al i zat i on( f orSecondar y Subj ect1 2. 0 PREFERENCEOFPOSTI NG 2. 1 1stChoi ce Pr ov i nce Di st r i ct 2. 2 2ndChoi ce Pr ov i nce Di st r i ct 2. 3 3rdChoi ce Pr ov i nce Di st r i ct Subj ect2 If ul l yacceptt hatIwi l l bepost edwher emyser v i cesar eneededandnotnecessar i l yt ot hePr ov i nceofmychoi ce. 2. 4 Dat e: Name: Si gnat ur e: 3. 0 FOROFFI CI ALUSEONLY( Pl easef i l l i nal l t hespaces) 3. 1 Recei v edby( NameandPosi t i on) 3. 2 Dat e: I nst i t ut i onal Ref .No. Deci si onofDepl oy mentCommi t t ee:Candi dat epost edt o: 3. 4 School Di st r i ct Pr ov i nce ThePer manentSecr et ar y , Mi ni st r yofEducat i on, P. O.Box50093, LUSAKA ATTENTI ON:PERSONNELDEPARTMENT REGI ONALCLEARANCECERTI FI CATE Pl easenot et hatMr / Mi ss/ Mr s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f i l eno. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Whowasempl oy edi nt hi sschool asa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( desi gnat i on)has Rur al / Ur ban r et i r ed/ r esi gned/ di ed/ beendi smi ssedon. . . . . . . . . . . . . . . . . . . . . . . . . Theof f i cerowest hef ol l owi ngpendi ng amountt oGRZ, whi chmustber ecei v edorwi t hhel df r om hi st er mi nal pay ment s f i nal i zat i onofpendi ngcases. S/ N 1. I TEMS AMOUNT DETAI LS 2. 3. 4. 5. 6. Tot al School dat eSt amp ( Wher eappl i cabl e) Icer t i f yt hatt heabov ei nf or mat i oni scor r ect . Si gnat ur e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ful l namesandf i l eno. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTE:Pl easepr epar et hi sf or mi n5copi esand send4copi est ot hePr ov i nci al Educat i onOf f i cer . Di st r i ctEducat i onBoar dSecr et ar y ’ s Dat est amp( Wher eappl i cabl e) Icer t i f yt hatt hei nf or mat i oni scor r ect . Pr ov i nci al Educat i onOf f i cer ’ s Dat est amp. Icer t i f yt hatt heabov ei nf or mat i oni scor r ect . Si gnat ur e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ful l names. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTE:Pl easecheckespeci al l yi fof f i cerwasi nv ol v ed I nanyl ossofpubl i cpr oper t yormoneyandsendt wocopi eswi t ha cov er i ngmi nut ewi t hy ourcomment s. Si gnat ur e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ful l name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remar ksi fany . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tobesubmi t t edi nor i gi nalonl y I NCONFI DENCE PUBLI CSERVI CECOMMI SSI ON Appl i cat i onf orAppoi nt mentt ot heVacantPostof ……………………………………………………………………………………………………… i nt heMi ni st r yof : …………………………………………………………………………………………………. . ADVERTI SEMENTNo.………of20…. . CLOSI NGDATE: …………….20…. . PARTA–Tobecompl et edbyt heAppl i canti nhi sownhandwr i t i ng PSCFor m No.6 PA Sur name: ……………………………………………………………………… ( I NBLOCK Ot herNames: ………………………………………………………………… LETTERS) ( S……………) Dat eofBi r t h: ………………………………………………………………………………………………………………………. Pr esentMi ni st r yandDepar t ment : ……………………………………………………………………………………………. Dat eofFi r stAppoi nt ment : ……………………………………………………………………………………………………… Pr esentPosthel dandDat eofAppoi nt ment t her et o: ……………………………………………………………………………………………………………………. Educat i onSt andar d: ………………………………………………………………………………………………………………. Speci al Qual i f i cat i on( I fany ) ……………………………………………………………………………………………………. . Gov er nmentTr ai ni ngCour sesat t endedanddat es: ……………………………………………………………………… …………………………………………………………………………………………………………………………………………. . Gov er nmentExami nat i onspassedanddat es: ……………………………………………………………………………. . . …………………………………………………………………………………………………………………………………………… Post al Addr ess: ……………………………………………… Si gnat ur e: ………………………………………………. …………………………………………………………………… Dat e: ……………………………………………………… PARTB–TobeCompl et edbyt heAppl i cant ’ sSuper v i si ngOf f i cer Det ai l soft heAppl i cant ’ sdut i esdur i ngt hepasty ear : …………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………. . Per sonal Char act er i st i cs: ………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………. . Recommended/ NotRecommended: …………………………………………………………………………………………. St at i on: ………………………………………………………. . ………………………………………………………… Si gnat ur e: ………………………………………………. Dat e: ……………………………………………………… PARTC–TobeCompl et edbyt hePer manentSecr et ar y( orSeni orOf f i ceraut hor i zedbyhi m) Gener al Comment s: ………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………. . Recommended/ NotRecommended: …………………………………………………………………………………………. Si gnat ur e: ……………………………………………………… Dat e: ………………………………………………………. Rank: ………………………………………………………………………………………………………………………………… 100m D955 8/ 75 T/ R2 Or i gi nalt o:Mi ni st r yofFi nance Dupl i cat et o:HeadofDepar t ment Tr i pl i cat e( Whenusedasanar r i v aladv i ceonl y ) t o:Per sonnelDi v i si on Account sFor m No.81 St ockedbyGov t .Pr i nt er REPUBLI COFZAMBI A - ARRI VALADVI CEANDPAYMENTOFSALARY Est abl i shmentFi l eNo………………………. . Fi nanceFi l eNo: ………………………. Tobecompl et edbyeachof f i ceri mmedi at el yonhi sr et ur nf r om v acat i onl eav e, ar r i v al onf i r stappoi nt ment , or whenev eri ti sdesi r edt oamendt hemet hodofpay i ngsal ar y . THESENI ORFI NANCEOFFI CER( SALARI ES) MI NI STRYOFFI NANCE P. O.BOX50062 LUSAKA 1. SURNAME( i nCAPI TALLETTERS)…………………………………………………………………………………. FULLCHRI STI ANNAMES( i nCAPI TALLETTERS)………………………………………………………………. NATI ONALREGI STRATI ONNUMBER………………………………………………………………………………. WORKPERMI TNUMBERWHEREappl i cabl e……………………………………………………………………… DEPARTMENT……………………………… POSTHELD………………………………………………………… CONDI TI ONSOFSERVI CE–Cont r act / Pr obat i on/ Per manent / Tempor ar y . r et ur nedofv acat i onl eav e 2. Ihav et oi nf or my out hatIhav e-on Ar r i v edonf i r stappoi nt ment ………………………………………………20………andhav ebeenpost edt o………………………………… 3. Ir et ur nedby………………………………………………. Vessel / Fl i ghtwhi chl ef t …………………………… On…………………………. i ncabi n………………………. Gr ade……………………. . . . . andIdi sembar ked at …………………………………………………on……………………………………. . 20………… 4. 1wasaccompani edbywi f eandf ami l y . 5. Iwasnotaccompani edbymywi f eandf ami l y , whenIexpectt oar r i v ei nt heRepubl i cabout ……………………………………andofwhosear r i v al Iwi l l adv i sey oui mmedi at el yupont hei rr et ur n 6. Ir epor t edf orDut yon…………………………………………………………20……………. 7. Unt i l f ur t hernot i ceIwi shmysal ar yt obepai d. ( a) To…………………………………Bankat……………………………………Br anch………………………… ( b) Byopenchequeatmyownr i sk………………………………………………………………………………… N. B.–Del et ewor dsorpar agr aphsnotappl i cabl e. ……………………………, 20………… ………………………………………………. Of f i cer ’ sSi gnat ur e ……………………………, 20………… ……………………………Per manentSecr et ar y / HeadofDept . OFFI CERSAREREMI NDEDOFTHENECESSI TYTOCOMPLETEAPPROPRI ATERENTALFORMS Pay mentofSal ar ybyOpenCheque Of f i cer sr equi r i ngpay mentbyopenchequear er equest edt onot ecar ef ul l yt hatpay mentbyt hi smeanswi l l beatmadet hei rownr i sk.Repl acementofanopenchequewhi chhasmi scar r i edorhasbeenl ostwi l l onl ybe madeoncompl et i onoft heappr opr i at eFor m ofI ndemni t y .Aspeci menFor m ofi ndemni t yi spr i nt edbel ow. I nt heev entofar ef usal t osi gni ni ndemni t yFor m nor epl acementchequewi l l i ssuedunt i l t heor i gi nal Chequewhi chhasbeenl ost , mi scar r i ed, et c. , hasbecomest al e( i . e. , af t ersi xmont hshav eel apsed) Speci menFor m ofI ndemni t y CERTI FI CATEOFI NDEMNI TY I nConsi der at i onoft hei ssuet omeofar epl acementofuncr ossedchequeno………………………………… K…………………………………i npay mentof………………………………………………………………………………………… Whi chIhav e( l ostnotr ecei v ed, et c)…………………………………………………….Iagr eet oi ndemni t yt heZambi a Gov er nment , t hedr aweroft hechequeagai nstl osswhat soev eri nconnect i ont her ewi t h, andIagr eet or ef und Thesum ofK………………………………………i nt heev enoft heor i gi nal chequeNo………………………. . bei ngpai d Pr ov i dedt heZambi aGov er nmentunder t akest ost oppay mentoft hechequeatt heBankonwhi chi ti sdr awn, i nt hef or m sont headv i cet ot heBankgener al l yusedf ort hi spur pose. Si gned………………………………………. . AsWi t ness …………………………………………………. Dat e………………………………………. . . . . DI STRI BUTI ON: ZPSI IFor mI I B St ockedbyGov t .Pr i nt er Or i gi nalt o: Of f i cer Copyt o: Per manentSecr et ar yt oMi ni st r y ZAMBI APUBLI CSERVI CE( LOCALCONDI TI ONS) APPLI CATI ONFORLEAVE( OTHERTHANSI CKLEAVE) FORAPERI ODOFLESSTHANTHI RTYDAYS ( Of f i cer si nDi v i si onI , I IandI I I ) Tobecompl et edandf or war dedi nTRI PLI CATETOTHEt ot heSeni orHumanResour ceManagementOf f i ceras ear l yaspossi bl ebef or et hepr oposeddat eofdepar t ur e PARTI ( Tobecompl et edbyappl i cant ) Name: …………………………………………………………………………………………. St af f .No.…………………………………………………………… Appoi nt ment………………………………………………………………………………. St at i on……………………………………………………………. Mi ni st r y……………………………………………………………………………………… Dat eofcommencementofpr esentper i odofqual i f y i ngser v i ce………………………………………………………………………………………… Ser v i cei nmont hssi nce( a)abov eatdat eofpr oposedl eav e……………………………………………………………………………………………… Di v i si oni nwhi chser v i ng…………………………………………. . Rat eofl eav e……………………………………………………… day samont h Leav egr ant edsi nce( a)abov e…………………………………………………………………………………………………………………………………day s Leav eappl i edf or…………………………………………day s.Thef i r stofwhi chi st obe…………………………………………………………………. . Dut yt ober esumedon……………………………………………………………………………………………………………………………………………………… Addr essdur i ngl eav e………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………. Dat e………………………………………………………………………………………. . Si gnat ur eofAppl i cant ……………………………………… PARTI I ( Tobecompl et edbyt heSecr et ar y , Teachi ngSer v i ceCommi ssi on) Leav eappl i ed……………………………………day s Si gnat ur e………………………………………………………… Dat e…………………………………………………………………………………………. . Desi gnat i on……………………………………………………… CSFor m B26 St ockedbyGov t .Pr i nt er s REPUBLI COFZAMBI A FORM OFVI TALSTATI STI CS ( Gener al Or derNo.10) 1. NameofOf f i ceri nf ul l : ………………………………………………………………………………………………………………………………………… 2. Dat eofBi r t h: ………………………………………………………………………………………………………………………………………………………. 3. Pl aceofBi r t h: ……………………………………………………………………………………………………………………………………………………. . . 4. Nat i onal i t yofPar ent s:Fat her : ………………………………………………… Mot her : …………………………………………………. 5. Rel i gi on: ……………………………………………………………………………………………………………………………………………………………. . . 6. Ti t l eofAppoi nt ment : …………………………………………………………………………………………………………………………………………. . 7. Dat eofMar r i age: …………………………………………………………………… Dat eofBi r t hofWi f e: ………………………………………. Mai denandChr i st i annamesofwi f e: ……………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………………… 8. Chi l dr en Dat eofBi r t h Name Sex Remar ks ……………………………………… …………………………………………………………………………. . ………. ………………………………. . ……………………………………. . …………………………………………………………………………. . ……… ……………………………………… …………………………………………………………………………. . ………. ………………………………. . ………………………………. . ……………………………………… …………………………………………………………………………… ………. . ………………………………. . ………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………………………………………………………………………… ………. . ………………………………… 9. ( Tobecompl et edbymar r i edwomenonl y ) NameofHusbandi nf ul l : ……………………………………………………………………………………………………………………………………… Addr essofHusband……………………………………………………………………………………………………………………………………………. Husband’ spr esentoccupat i on: ……………………………………………………………………………………………………………………………. ( i ) Namesandaddr essespar ent sand/ orot herr el at i onsorf r i endswhom y oushoul dwi sht obenot i f i edi nt heev ent ofser i ousi l l nessorr at heremer gency ( a) Name: ……………………………………………………………………………………………………………………………………………………………… Addr ess: …………………………………………………………………………………………………………………………………………………………… Rel at i onshi pi fany ) : ……………………………………………………………………………………………………………………………………………. ( b) Name: ………………………………………………………………………………………………………………………………………………………………… Addr ess: ……………………………………………………………………………………………………………………………………………………………. . Rel at i onshi pi fany ) ……………………………………………………………………………………………………………………………………………… Dat e: ……………………………………………………………………………………. Si gnat ur e: ………………………………………………………. . Not e: ThePer manentSecr et ar y( Per sonnel )mustbei nf or medi fanyamendment CSFor m B25 St ockedbyGov t .Pr i nt er REPUBLI COFZAMBI A FORM OFACKNOWLEDGEOFLI ABI LI TYFORLOSSORDAMAGE TOOFFI CERS’ PERSONALEFFECTS Not eonLi abi l i t yf orl ossorDamaget oOf f i cer s’ Per sonalEf f ect s Thel i abi l i t yoft heGov er nmenti nr espectofl ossordamaget oof f i cer s’per sonalef f ect si sgov er nedbyGener alOr der505,whi ch r eadsasf ol l ows: ‘ 505.( a)Gov er nmentwi l lacceptnol i abi l i t yf orl ossordamaget oanof f i cer ’ sper sonalef f ect s,wi t ht heexcept i onr ef er r edt oi n par agr aph( b)oft hi sOr der , unl esst hel ossordamageoccur r edi nci r cumst anceswher et hegov er nmentmi ghtl egal l ybel i abl e. ‘ ( b)wher eanof f i cerandhi sf ami l yar et r av el i ngbyt r ai natGov er nment ’ sexpense,gov er nmentwi l lassumel i abi l i t yt ot he samedegr eeast hatwhi cht her ai l waycompanyassumest owar dst hehol der sofanor di nar yt i cket .Thi sappl i est oanof f i cert r av el i ng bypassengert r ai nondut yoront r ansf erorgoi ngt oandf r om l eav ewi t hconcessi ont i cket s,andt oanof f i cert r av el i ngondut yby goodst r ai n. ‘ ( c)I nspeci alci r cumst ancesGov er nmentwi l lassumet hel i abi l i t i esofacommoncar r i er , t hati s, i twi l lpaycompensat i oni f l ossordamagei spr ov edal t hought hi shasbeencausedbynegl i gence. Theseci r cumst ancesr el at et ot hepr oper l yaut hor i zed car r y i ngofanof f i cer ’ sef f ect sbyGov er nmentt r anspor t ‘ ( i )whent heof f i ceri st r av el i ngondut yi nZambi a,andwhen,i fhehadusedpubl i ct r anspor tGov er nmentwoul dhav epai d t hecostofcar r y i nghi sef f ect s; or ‘ ( i i )whenanof f i ceri sst at i onedatapl acewhi chi snotser v edbypubl i ct r anspor t ,andhi sef f ect si ncl udi nghousehol ds suppl i esar ebei ngcar r i edi nGov er nmentt r anspor tmaki ngt hej our neyondut y . Gov er nment ’ sl i abi l i t yi nt hesecasesi sl i mi t edt oK20f orspeci f i edar t i cl esi ncl udi nggol d,j ewel l er y ,wat ches,cl ocks,pi ct ur es,pl at e gl ass,chi naandf ur s,unl esst hei ndi v i dualv al uesoft hesear t i cl eshav ebeendecl ar edi nadv ance.Ful lcompensat i onmaybepai di f t hel ossordamagecanbeshownt obeduet ot henegl i genceofagov er nmentempl oy ee, ot hert hant heof f i cerhi msel f . ‘ ( d)Exceptaspr ov i dedi npar agr aph( c)abov e, Gov er nmentwi l lacceptnol i abi l i t ywhengov er nmentt r anspor ti saut hor i zed t o car r yanof f i cer ’ sper sonalef f ect sbet weenonesetofGov er nmentquar t er sandanot heratt hesamest at i on,orbet ween gov er nmentquar t er sandt heof f i cer ’ shouse, orbet weent heof f i cer ’ sGov er nmentquar t er sorhouseandanypl acewher eef f ect sar e t obest or edorhav ebeenst or ed. ‘ ( e)Gov er nmentwi l l acceptnol i abi l i t ywhenanof f i cer ’ sper sonal ef f ect sar ecar r i edbyacommer ci al cont r act or . ‘ ( f )Gov er nmentwi l lacceptnol i abi l i t yf orl ossordamaget oanof f i cer ’ sef f ect swhi char ekepti nGov er nmentst or e,ev en t houghl ossordamagemayhav er esul t edf r om t henegl i genceofagov er nmentempl oy ee.Bef or eanof f i cer ’ sef f ect sar eaccept edf or st or agei nagov er nmentSt or e, hemustsi gnaf or m accept i ngt hi scondi t i on. ‘ ( g)Whenanof f i cer ’ sef f ect sar est or edi naGov er nmentst or edur i nghi sl eav e,hi swr i t t enagr eementmustbeobt ai ned bef or et heef f ect sar emov edt oanot herst at i on. ‘ ( h)Thecostofi nsur i nganof f i cer ’ sef f ect swi l lnotbepai dbygov er nment .Of f i cer smustmaket hei rownar r angement s wi t hi nsur ancecompani es. Par tI Ioft hi sf or m, bel ow, shoul dbecompl et ed, det achedandr et ur nedt ot hePer manentSecr et ar y( Per sonnelDi v i si on) , Lusaka TO:THEPERMANENTSECRETARY( PERSONNELDI VI SI ON) LUSAKA PART I , ………………………………………………………………………………………………………… hav er ecei v edacopyofCSFor m B25Par tI anot eonLi abi l i t yf orLoss orDamaget oof f i cer s’ Per sonal Ef f ect s–andam awar eofmyownl i abi l i t yi nr espectofanyl ossordamaget omyper sonal ef f ect s. Si gnat ur e…………………………………………………………. . Ti t l e………………………………………………………………… Dat e………………………………………………………………. . Secr et ar i atFor m CBS10 St ockedbyGov t .Pr i nt er DECLARATI ONANDUNDERTAKI NGTOBESI GNEDBY PERSONSWHOMAYWORKONORHAVEACCESSTO MATTERSAFFECTI NGSTATESECURI TY Myat t ent i onhasbeendr awnt ot heSt at eSecur i t yAct , 1969( Act36of1969) , t hepr i nci pal pr ov i si onsof Whi char esetouther eunder .Iunder t aket ocompl ywi t hal l t hepr ov i si onsoft heActandIam f ul l yawar eof t heser i ousconsequences, whi chmayf ol l owanybr eachofsuchpr ov i si ons. Si gned: …………………………………………………………. . Wi t nessed: ………………………………………………. . Name: …………………………………………………………. Name: ……………………………………………………… ( BLOCKCAPI TALS) Dat e: …………………………………………………………… THESTATESECURI TYACT, 1969ACTNO.1969) ( SECTI ONS2( PART) , 3, 4, 5, 6, 7, 8, 9, 12( 1) , 18( 1) 2. I nt hi sAct , unl esst hecont extot her wi ser equi r e‘ cl assi f i edmat t er ’ meansanyi nf or mat i onort hi ngdecl ar edt obecl assi f i edbyanaut hor i zedof f i cer 3. Anyper sonwho, f oranypur posepr ej udi ci al t ot hesaf et yori nt er est soft heRepubl i c( a) appr oaches, i nspect s, passesov er , i si nt hev i ci ni t yoforent er sanypr ot ect edpl ace; ( b) makesanysket ch, pl an, model ornot eori nanymannerwhat ev ermakesar ecor dofaorr el at i ngt oany t hi ngwhi chmi ghtmeori si nt endedt obedi r ect l yori ndi r ect l yusef ul t oaf or ei gnpowerordi saf f ect ed Per sons; ( c) obt ai ns,col l ect s,publ i sher sorcommuni cat est oanyper sonanycode,passwor d,sket ch,pl an,model , not eorot herdocument ,ar t i cl eori nf or mat i onwhi chmi ghtbeori si nt endedt obedi r ect l yori ndi r ect l y usef ul t oaf or ei gnpowert odi saf f ect edper sons; ( d) wi t houtl awf ulexcusedamages,hi nder sori nt er f er eswi t h,ordoesanyactwhi chi sl i kel yt odamage, hi nderori nt er f er ewi t hanynecessar yser v i ceort hecar r y i ngont her eofshal lbegui l t yofanof f ence andl i abl eonconv i ct i ont oi mpr i sonmentf oraper i odnotexceedi ngt went y f i v ey ear s. 4.( 1) Anyper sonwhohasi nhi spossessi onorunderhi scont r ol anycode, passwor d, sket ch, pl an, model , not eorot her document ,ar t i cl eori nf or mat i on,whi chr el at est oori susedi napr ot ect edpl aceorany t hi ngi nsuchapl ace,or whi chhasundert heGov er nmentorwhi chhehasobt ai ned ort owhi chhehashadaccessowi ngt ohi sposi t i on asaper sonwhohol dsorhaswhol eori npar ti scar r i edouti napr ot ect edpl ace, orasaper sonwhoi sorhehas beenempl oy edbyorunderaper sonwhohol dsorhashel dsuchanof f i ceori sorwasapar t yt osuchacont r act , andwho( a) usest hesamet oanymannerorf oranypur posepr ej udi ci al t ot hesaf et yori nt er est soft heRepubl i c; or ( b) communi cat et hesamet oanyper sonot hert hanaper sont owhom hei saut hor i zedt o ( c) f ai l st ot akepr opercar eof , orsoconduct shi msel fast oendangert hesaf et yor , t hesameor ( d) r et ai nst hesket ch, pl an, model , not e, documentorar t i cl ei nhi spossessi onorunderhi scont r ol whenhe hasnor i ghtorwheni ti scont r ar yt ohi sdut ysot odo, orf ai l st ocompl ywi t hanyl awf ul di r ect i onswi t h r egar dt ot her et ur nordi sposal t her eof ; ( e) shal l begui l t yofanof f enceandl i abl eonconv i ct i ont oi mpr ov ementf orat er m notexceedi ngt went y y ear s. ( 2) Anyper sonwhohasi nhi spossessi onorunderhi scont r olanysket ch,pl an.Model ,not eorot her document ,ar t i cl eori nf or mat i on,r el at i ngt omuni t i onsofwarandwhocommuni cat esi tdi r ect l yordi r ect l yt oanyper son i nanymannerf oranypur posepr ej udi ci alt ot hesaf et yori nt er est soft heRepubl i cshal lbegui l t yofanof f enceandl i abl e onconv i ct i ont oi mpr i sonmentf orat er m notexceedi ngt went yy ear s. ( 4) Anyper sonwhor ecei v esanycode,passwor d,sket chpl an,model ,not eorot herdocument ,ar t i cl e or i nf or mat i on,knowi ngorhav i ngr easonabl egr oundst obel i ev eatt het i mewhenher ecei v esi nt hatt he samei scommuni cat edt ohi mi ncont r av ent i onoft hepr ov i si onsoft hi sAct , shal l , unl essbepr ov est hat t hecommuni cat i ont her eoft ohi m wasagai nsthi swi sh, begui l t yofanof f enceandl i abl eonconv i ct i on t ot hepenal t ypr escr i bedi nsubsect i on( 1) ( 4) Anyper sonwhocommuni cat est oanyper son,ot hert hanaper sont owhom hei saut hor i zedbyan aut hor i zedof f i cert ocommuni cat ei tort owhom i ti si nt hei nt er est soft heRepubl i chi sdut yt o communi cat ei t , anyi nf or mat i onr el at i ngt ot hedef enceorsecur i t yoft heRepubl i cshal lbegui l t yOFan of f enceandl i abl eonconv i ct i ont oi mpr i sonmentf orat er m notexceedi ngt went yy ear s. ( 6) Fort hepur poseofsubsect i on( 4)‘ i nf or mat i onr el at i ngt ot hedef enceorsecur i t yoft heRepubl i c ‘i ncl udes( butwi t houtder ogat i ngf r om t hegener al i t yort heor di nar ymeani ngoft heexpr essi on) i nf or mat i onr el at i ngt ot hemov ement sorl ocat i onsoft heDef enceFor ceort ot hePol i ceFor ce,t he st epst akent opr ot ectanyv i t ali nst al l at i onsorpr ot ect edpl aces,andt heacqui si t i onordi sposalof muni t i onsorwar . REPUBLI COFZAMBI A CSFor m B25 St ockedbyGov t .Pr i nt er FORM OFACKNOWLEDGEMENTOFLI ABI LI TYFORLOSSORDAMAGETO OFFI CERS’ PERSONALEFFECTS Not eonLi abi l i t yf orl ossorDamaget oOf f i cer s’ Per sonal Ef f ect s Thel i abi l i t yoft heGov er nmenti nr espectofl ossordamaget oof f i cer s’ per sonal ef f ect si sgov er nedby Gener al Or der505, whi chr eadsasf ol l ows: ‘ ( a)Gov er nmentwi l l acceptnol i abi l i t yf orl ossordamaget oanof f i cer ’ sper sonal ef f ect s, wi t ht heexcept i on r ef er r edt oi npar agr aph( b)oft hi sOr der , unl esst hel ossordamageoccur r edi nci r cumst anceswher et heGov er nment mi ghtl egal l ybel i abl e. ‘ ( b)Wher eanof f i cerandhi sf ami l yar et r av el l i ngbyt r ai natGov er nment ’ sexpenses, Gov er nmentwi l l assume l i abi l i t yt ot hesamedegr eeast hatwhi cht her ai l waycompanyassumest owar dst hehol der sofanor di nar yt i cket .Thi s i mpl i est oanof f i cert r av el l i ngbypassengert r ai nondut yoront r ansf erorgoi ngt oandf r om l eav ewi t hconcessi on t i cket s, andt oanof f i cert r av el l i ngondut ybygoodst r ai n. ‘ ( c)I nspeci al ci r cumst ancesGov er nmentwi l l assumet hel i abi l i t i esofacommoncar r i er , t hati s, i twi l l pay compensat i oni fl ossordamagei spr ov i deal t hought hi shasbeencausedbynegl i gence.Theseci r cumst ancesr el at et o t hepr oper t yaut hor i sedcar r y i ngofanof f i cer ’ sef f ect sbyGov er nmentt r anspor t ( i ) Whent heof f i ceri st r av el l i ngondut yi nZambi a, andwhen, i fhehadusedpubl i ct r anspor tGov er nment woul dhav epai dt hecostofcar r y i nghi sef f ect s; or ( i i ) Whenanof f i ceri sst at i onedatapl acewhi chi snotser v edbypubl i ct r anspor t , andhi sef f ect si ncl udi ng househol dsuppl i er s, ar ecar r i edi nGov er nmentt r anspor tmaki ngt hej our neydut y . Gov er nment ’ sl i abi l i t yi nt hesecasesi sl i mi t edt oK20f orspeci f i edar t i cl esi ncl udi nggol d, j ewel r y , wat ches, cl ocks, pi ct ur es, pl at egl ass, chi naandf ur s, unl esst hei ndi v i dual v al uesoft hesear t i cl eshav ebeendecl ar edi nadv ance.Ful l compensat i onmaybepai di ft hel ossordamagecanbeshownt obeduet ot henegl i genceofaGov er nmentempl oy ee, ot hert hant heof f i cerhi msel f . ‘ ( d)Exceptaspr ov i dedi npar agr aph( c)abov e, Gov er nmentwi l l acceptnol i abi l i t ywhenGov er nmentt r anspor t i saut hor i zedt ocar r yanof f i cer ’ sper sonal ef f ect sbet weenonesetofgov er nmentquar t er sandanot heratt hesame st at i on, orbet weenGov er nmentquar t er sandt heof f i cer ’ shouse, orbet weenonesetofGov er nmentquar t er sand anot heratt hehouseandanypl acewher ehi sef f ect sar et obest or esorhav ebeenst or ed. ‘ ( e)Gov er nmentwi l l acceptnol i abi l i t ywhenanof f i cer ’ sper sonal ef f ect sar ecar r i edbyacommer ci al cont r act or . ‘ ( f )Gov er nmentwi l l acceptnol i abi l i t yf orl ossordamaget oanof f i cer ’ sef f ect swhi char ekepti na Gov er nmentSt or e, ev ent houghl ossordamagemayhav er esul t edf r om t henegl i genceofaGov er nmentempl oy ee. Bef or eanof f i cer ’ sef f ect sar eaccept edf orst or agei naGov er nmentst or e, hemustsi gnaf or m accept i ngt hi scondi t i on. ‘ ( g)Whenanof f i cer ’ sef f ect sar est or edi naGov er nmentst or edur i nghi sl eav e, hi swr i t t enagr eementmustbe obt ai nedbef or et heef f ect sar emov edt oanot herst at i on. ‘ ( h)Thecostofi ssui nganof f i cer ’ sef f ect swi l l notbepai dbyGov er nment .Of f i cer smustmaket hei rOwn ar r angement swi t hi nsur ancecompani es. ’ Par tI Ioft hi sf or m bel owshoul dbecompl et ed, det achedandr et ur nedt ot hePer manentSecr et ar y( Per sonnel ) . Lusaka Par tI I To:THEPERMANENTSECRETARY( PERSONNEL) LUSAKA I , …………………………………………………………………………………………………………………………………………………. hav er ecei v eda CopyofCSFor m B25Par tI–aNot eonLi abi l i t yf orLossorDamaget oOf f i cer s’ Per sonal Ef f ect s–andam awar eof myownl i abi l i t yi nr espectofanyl ossordamaget omyper sonal ef f ect s. Si gnat ur e………………………………………. Ti t l e………………………………………………. . Dat e………………………………………………. . REPUBLI C OFZAMBI A I NCONFI DENCE TEACHI NGSERVI CE TSFor m8 St ockedbyMi n.OfEd.andCul t ur e RECOMMENDATI ONFORCONFI RMATI ON ( Par t sIandI It obecompl et edi nt r i pl i cat e.Or i gi nal anddupl i cat et obef or war dedt ochi efEducat i on Of f i cer , t r i pl i cat et ober et ai nedbyManager .Par tI Vt obecompl et edbyEducat i onOf f i cer . ) PARTI MEDI CALCERTI FI CATE 1.Name…………………………………………………………………………… TSNo.…………………………………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.Appoi nt ment………………………………………………………………. .Dat eoff i r stAppoi nt ment………………………………………. ( I t ems1and2t obecompl et edbyManager ) 3.Ihav eexami nedt heabov enamedandf i nd* hi m/ her / unf i tf orper manentempl oy mentasa ……………………………………………………………………………………………………………………………………………………………………………. . Remar ks……………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………. . Dat e…………………………………………………………………………………. ………………………………………………………………………………… Medi calPr act i t i oner ( * Del et ewher enotappl i cabl e) Par tI I RECOMMENDATI ONBYEDUCATI ONOFFI CER/ HEADMASTER 1.Theabov enamedhasser v edonpr obat i onf r om ……………………………………………………………………………. , ………………………. . t odat eand, bei ngel i gi bl ef orconf i r mat i oni nappoi nt menton…………………………………………………………………………………… 20. . . . . . . . . . . . . . . . . . .hasexpr essedt hewi sht obesoconf i r med. 2.Pr esentSal ar yi s……………………………………………………………………i nScal e……………………………………………………………………. 3. Pr of i ci encyandpr ogr essi nappoi nt ment ……………………………………………………………………………………………………………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………………………………………………………………………………………………………………………………………………………………………………. . . 4. Conductandchar act er( det ai l soranyadv er ser epor tordi sci pl i nar yact i onsi ncedat eoff i r stappoi nt mentmustbe gi v en) ………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………. . ……………………………………………… …………………………………………………………………………………………………………………………………. . ……………………………………………………………………… …………………………………………………………………………………………………………. . ……………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………. . 5. Yeari nwhi chEf f i ci encyBarExami nat i onpassed, wher eappl i cabl e……………………………………………………………………………. 6. Gener al Remar ks…………………………………………………………………………………………………………………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………………………………………………………………………………………………………………………………………………………………………………. . ……………………… …………………………………………………………………………………………………………………………………………………………. . 7. Ir ecommendt hatMr / Mi ss………………………………………………………………………………………………………………………………………… Beconf i r medi nappoi nt mentwi t hef f ectf r om t hedat eonwhi chser v i ceonpr obat i oncommenced ………………………………………………………………………20………………………………. . Dat e…………………………………………………………………………………………………. ……………………………………………………………………. . Educat i onOf f i cer / Headmast er [ PTO] PARTI I I THEPERMANENTSECRETARY MI NI STRYOFEDUCATI ONANDCULTURE 1. Par t i cul ar soft hi sempl oy eegi v eni nPar t sIandI Ioft hi sr ecommendat i onar ecor r ect , accor di ngt o r ecor d 2. TheTeachi ngSer v i cer ecommends: * Mr / Mi ss……………………………………………………………………………………………………………………………….beconf i r medi n Appoi nt mentwi t hef f ectf r om …………………………………………………………………………………………. . 20…………………………. . * t hatMr / Mi ss…………………………………………………………………………………………………………. . . shoul dnotbeconf i r medi n Appoi nt ment , f ort hef ol l owi ngr eason/ s…………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………. . Dat e………………………………………………………………………………. …………………………………………………………………. . Pr ov i nci alEducat i onOf f i cer * Del et ewher enotappl i cabl e ORI GI NAL:Tobef or war ded DUPLI CATE: Tober et ai nedf orPr ov i nci al r ecor ds PARTI V A. PERSONALPARTI CULARS: 1. Ful l name………………………………………………………… 2. Nat .Reg.No………………………………………………. . 3. Tr i be………………………………………………………………… 4. Vi l l age………………………………………………………. . 5. Chi ef………………………………………………………………. 6. Di st r i ct ………………………………………………………. 7. Appr oxi mat edat eofBi r t h…………………………………………………………………………………………………………………………. B. EDUCATI ONAND/ ORTRAI NI NG: Wher eeducat ed Dat es And/ ort r ai ned Fr om Fi nal st andar dpassedor To cer t i f i cat eobt ai ned ………………………………………………………………………………………………………………………………………………………………………………. . . . . . . . . . . . . . . . . . . . . . …………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………. . c. PREVI OUSEXPERI ENCE: PREVI OUSappoi nt ment sandnames Ofpr ev i ousempl oy er sor Gov er nmentDepar t ment s Dat e Fr om Reasonsf orl eav i ng To …………………………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………. D.POSTI NGS: Dat es Fr om School Di st r i ct Pr ov i nce To ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………. FORHEADQUARTERSUSEONLY: ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………… St ockedbyQM St or es ZAMBI APOLI CE APPLI CANTFOREMPLOYMENTI NTHEPUBLI CSERVI CE ORNONCRI MI NALI NQUI RY Name……………………………………………………………………………………………. . ( BLOCKLETTERS) Forusei nC3 Al i as………………………………………………………………………………………………. OEBNo…………………………………………………. Nat i onal i t y ……………………………………………………………………………………. . CB/ CPNo………………………………………………. Appl i cantf or………………………………………………………………………………… Cl ass……………………………………………………… St at i on…………………………………………………………………………………………… RI GHTHAND 1. R.Thumb 2.R.For eFi nger 3.R.Mi ddl eFi nger 4.R.Ri ngFi nger 5.R.Li t t l eFi nger LEFTHAND 1. L.Thumb LEFTHAND I mpr essi onofLEFTf i nger st aken Si mul t aneousl y 2.L.For eFi nger 3.L.Mi ddl eFi nger 4.L.Ri ngFi nger I MPRESSI ONOFTHUMBS I mpr essi onofTHUMBSt aken Si mul t aneousl y Lef tHand 5.L.Li t t l eFi nger RI GHTHAND I mpr essi onofRI GHTf i nger st aken Si mul t aneousl y Ri ghtHand ( Fol d) ( Fol d) Fi ngerpr i nt st akenby …………………………………………………………… No…………………… Rank………………………………Dat e……………………… Cl assi f i edby …………………………………………………………………………. . .I dent i f i edwi t hcr i mi nal r ecor d………………………………………………… Checkedby…………………………………………………………………………… Nocr i mi nal r ecor d…………………………………………………………………… Test edby……………………………………………………………………………… 2St ockedbyGov t .P APPLI CATI ONFORADVANCEOFSALARY ( Readnot esbef or ecompl et i ngt hef or m) Par tI ( Tobecompl et edbyt heappl i cant ) Ful l NameofAppl i cant :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Desi gnat i on: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Depar t ment / Mi ni st r y / Pr ov i nce: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ManNumber : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To:TheCont r ol l i ngOf f i cer : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Mi ni st r y / Depar t ment / Pr ov i nce: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ P. O.Box : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Iher ebyappl yf oranadv ance/ speci al adv anceofsal ar yamount i ngt oK_ _ _ _ _ _ _ _ ( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Kwacha)i naccor dancewi t ht hepr ov i si onsofGener al Or der* E10/ E11ont hef ol l owi ng _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ St at e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Gr ounds _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Her e Ir equestt hatt headv anceber ecov er edi n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ mont hl yi nst al l ment scommence mont hof_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , 19_ _ _ _ _ _ _ _ _ _ _ _ _ _ St at i on: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si gnat ur eofAppl i cant Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PARTI I ( Tobecompl et edbyt heSal ar i esorAccount ssect i onoft heappl i cant ’ sMi ni st r y / Depar t ment / Pr ov i nce) Ihav ev er i f i edt heof f i cer ’ ssal ar ysl i pf ort hemont hof_ _ _ _ _ _ _ _ _ _ 19_ _ _ _ _ _ . and* hi s/ her i sK_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ permont h. Thededuct i onwhi char ebei ngmadef r om * hi s/ hersal ar yamountt oK_ _ _ _ _ _ _ _ _ _ _ _ _ and t akehomepayamountt oK_ _ _ _ _ _ _ _ _ _ _ _ _ _wher eas_ _ _ _ _ _ _ _ _ _%of* hi s/ hergr osssal ar y .* He/ her adv ancesofout st andi ngi n* hi s/ hernamebal anceK_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ out st andi ngi nagai nstpr ev i ous adv ance. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si gnat ur eofVer i f y i ng Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Depar t ment :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PARTI I I ( Tobecompl et edbyt heof f i ceraut hor i zedt oappr ov et headv anceofsal ar y ) *Iappr ov et heAdv anceofK_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Kwacha t ot heof f i cer .Theamountshoul dber ecov er edi n_ _ _ _ _ _ _ _ _ _ _ Mont hl yi nst al l mentcommenci ngt hemont hof _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , 19_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Theadv ancei snotappr ov ed.Pl easear r anget oi nf or mt heof f i ceraccor di ngl y . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si gnat ur eofOf f i cer Name:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Desi gnat i on_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PARTI V ( Tobecompl et edbyt heSal ar i esOf f i cerr esponsi bl ef ormaki ngpay mentandar r angi ngr ecov er i es) *Pay mentofK_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Kwacha hasbeenmadebychequeNo._ _ _ _ _ _ _ _ _ _ _ r ecov er yoft headv ancehasbeenar r angedi n_ _ _ _ _ _ _ _ _ _ mont hl yi nst al l ment scommenci ngt hemont hof_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , 19_ _ _ _ _l asti nst al l menti nt hemont hof _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , 19_ _ _ _ _ _ _ _ _ _ *TheOf f i cerhasbeeni nf or medt hathi sappl i cat i onhasnotbeenappr ov ed. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si gnat ur eofOf f i cer Name:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ¬¬¬¬_ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Desi gnat i on_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Checked _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si gnat ur eofI nt er nalAudi t or Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Copysentt ot heAudi t or Gener al on_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ( Dat e) NOTES: *Del et easappr opr i at e ( 1) Theappl i cat i onshoul dbecompl et edandsubmi t t edi nt r i pl i cat e ( 2) Anappl i cantf orsal ar yadv ancemayber equi r edt of ur ni shdocument ar ypr oofofhi s/ herappl i cat i on. ( 3) Noappl i cat i onf oradv anceofsal ar ywi l l beconsi der edwhi l stt her ei sanout st andi ngbal ancet ober ecov er ed i nr espectofanear l i eradv ance.Fort hi spur poseanadv ancewi l l notbeconsi der edt ohav ebeenr ecov er ed unt i l t hel astdayoft hemont hi nwhi cht hef i nal r ecov er yi nst al l menti smade. ( 4) Af t erappr ov al al l t het hr eecopi esshoul dbesubmi t t edt ot hepay i ngof f i cer . ( 5) Thepay i ngof f i cershal l ar r anget or ecov ert headv ancei nnotmor et hansi xi nst al l ment sasdi r ect edbyt he appr ov i ngof f i ceri mmedi at el yaf t erpay ment .Wher et her eci pi entoft headv ancei spai dt hr ought he mechani zedsal ar ysy st em, t henecessar yi nputshal l besubmi t t edt ot hecomput erbef or ei tcl osesf ort he nextr uni nal l casesr ecov er yshal l bear r angedt hr ought heappr opr i at ewi l l besentt osuchaut hor i t y r esponsi bl ef orpay i ngsal ar yt ot heof f i cerandacopyoft heappr ov edappl i cat i onwi l l besentt osuch aut hor i t yt of aci l i t at et hi st obedone.Onnoaccountshal l r ecov er i esbepost ponedordel ay ed. ( 6) Acopyoft heappr ov edappl i cat i onf or m shoul dbesentt ot heAudi t or Gener al f orhi sr ecor daf t erpay mentof t headv ancehasbeenmade( Per sonnel Di v i si onCi r cul arNo.B4of1979r ef er s) . ( 7) Acopyoft heappr ov edappl i cat i onwi l l bef i l edi nt heof f i cer ’ ssal ar yf i l ef orr ecor dandaudi t . CONFI DENCE Tobecompl et edonl ybyci t i zensof Zambi aseeki ngper manentempl oy ment REPUBLI COFZAMBI A PSCFor m No.6 PUBLI CSERVI CECOMMI SSI ON Appl i cat i onf orAppoi nt mentt ot heCi v i l ser v i ce ( t obesubmi t t edi ndupl i cat e) I MPORTANT Candi dat esshoul dcl ear l yunder st andt hatt hePubl i cSer v i ceCommi ssi onwi l l notconsi dert heor yappl i cat i onf orappoi nt mentunt i l i ti si npossessi onof accept abl eev i denceoft hei rhi ghesteducat i onal at t ai nmentandt est i moni al st ocov erev er yst ageoft hei rcar eersi ncel eav i ngschool . Al l sect i onsoft hei rappl i cat i onf r om mustbecompl et ed.Thi sf or mi st obecompl et edbyt heappl i canti nhi sownhandwr i t i ngandr et ur nedt ot he Secr et ar y , Publ i cSer v i ceCommi ssi on, P. O.Box50138, Lusaka 1. Appoi nt mentdesi r ed.( Appl i cat i onf ormor et hanonepostmaybemade.Post sshoul dbel i st edi nor derofpr ef er ence) Post Mi ni st r y 2. Per sonal det ai l s SURNAME,Mr .Mr s.Mi ss…………………………………………………………………………………………………………………. . MAI DENNAME ( Mar r i edwomenandwi dows)………………………………………………………………………………………. BLOCK CAPI TALS CHRI STI ANNAMESi nf ul l ………………………………………………………………………………………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . HOW LONGHAVEYOUBEENI NZAMBI A………………………………………………………………………………………………. ADDRESS( a)Resi dent i al …………………………………………………………………………………………………………………… ( b)Post al …………………………………………………………………………………………………………………………… ( c)Tel ephoneNo.( i fav ai l abl e) ………………………………………………………………………………………………. . ( Al l communi cat i onswi l l besentt ot hi spost al addr essunl essachangeofaddr essi snot i f i edi nwr i t i ng) Dat eofBi r t h Agel astbi r t hday Pl aceofbi r t h Nat i onal i t y Nat i onal Whet hersi ngl e, mar r i ed, Regi st r at i on wi dowedordi v or ced Car dNumber ( i fi npossessi onofabi r t hcer t i f i cat ei tmustbepr oduced) Vi l l age/ Town ……………………………………………………………………. . Chi ef …………………………………………………………………… Di st r i ct ………………………………………………………………… Numberof Chi l dr en ……………………………………Sons Agedr espect i v el y ………………………………y ear s ……………………………………Daught er s Agedr espect i v el y……………………………. . y ear s Resi dent i al Phy si cal Addr ess ………………………………………………………… STAFor m1 ………………………………………………. ………… …………………………………………………………. . Cel l : ………………………………………………. . . REPUBLI COFZAMBI A MI NI STRYOFGENERALEDUCATI ON MOGESTATI STI CALTEACHERAPPLI CATI ONFORM 1 t eacher s NRC I nst r uct i ons: ( i ) Thef or m mustbecompl et edi n4copi esbyal l qual i f i edt r ai ned f r om t her ecogni zedUni v er si t i esandCol l eges t her ecogni zedUni v er si t i esandCol l eges ( i i ) Theappl i cat i onf or m mustbesubmi t t edt ot heDEBSof f i ces ( i i i ) Ev er y t hi ngmustbei nCAPI TALl et t er s ( i v )At t achcer t i f i edphot ocopi esofGr ade12r esul t s, Col l ege/ Uni v er si t yand 1. 1PERSONALI NFORMATI ON name( I nCAPI TALLet t er s) 1. 1 Sur Ot herNames 1Nat i onal Regi st r at i onCar d 1. 2 12. 1. 2. 2 Femal e aceofBi r t h 1. 3 Pl Town/ Ci t y Number . 1. 4 1. 5 Vi l l age 1. 4. . 1Languages( s) 1. 4. 2.Mar i t al st at us spoken 1. 2. 3 Mal e 1. 2. 4Nat i onal i t y 1. 2. 5Dat eofBi r t h Di st r i ct Pr ov i nce 1. 4. 3. NumberofChi l dr en Col l ege/ Uni v er si t y 1. 6 Ar eaofspeci al i zat i on( f orSecondar ySchool Teacher s Ot her( Count r y ) 1. 4. 4 Anydi sabi l i t y Qual i f i cat i ont obeobt ai ned Subj ect1 Subj ect2 Onl y ) 2. 0 PREFERENCEOFPOSTI NG 2. 1 1stChoi ce Pr ov i nce Di st r i ct 2. 2 2ndChoi ce Pr ov i nce Di st r i ct 2. 3 3rdChoi ce Pr ov i nce Di st r i ct If ul l yacceptt hatIwi l lbepost edwher emyser vi cesar eneededandnotnecessar i l yt ot hePr ovi nceofmychoi ce. 2. 4 Dat e: Name: Si gnat ur e: 3. 0 FOROFFI CI ALUSEONLY( Pl easef i l li nal lt hespaces) 3. 1 Recei v edby( NameandPosi t i on) 3. 2 Dat e: I nst i t ut i onal Ref .No. 3. 3 Deci si onofDepl oy mentCommi t t ee:Candi dat epost edt o: 3. 4 School Di st r i ct Pr ov i nce Rur al / Ur ban Thi sf or m mustbecompl et edi nt i met heDi st r i ctEducat i onBoar dSecr et ar yt odepl oycandi dat esbef or et heUni ver si t y / Col l ege cl osesf ort hey