PLAR APPLICATION

Congratulations! You are the 14th candidate who applied. ****Make Sure your fill in your names and ID NO exactly the same way they appear on your Identification Card.****

Surname *

First Name *

Other Name *

Identification Number (ID/Passport) *

Gender * Male Female

Do you have any disability? * YES NO

If yes Above, specify and provide evidence (Registration with NCPWD) *

Date of Birth dd/mm/yyyy *

Nationality *

Physical Address (place of residence) *

Postal Address *

Contact: Mobile *

Contact: Work *

Contact: Email *

Applicant’s place of work (Name of City/Town where you are currently posted by your employer or are self-employed)*

2. Certificates Held

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 Certificates Held
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 Name of Training
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 Issuer
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3. Applicant’s Work-Related Experience

Occupation / Trade Role Period From To *

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 Occupation / Trade
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 Role 
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 Period
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 From
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 To
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Occupation / Skill Area to be assessed for *

4. Nature of Employment * Formal employment Informal (jua kali)

Contact details of current employer if employed (indicate if self employed) *

Provide any further information you wish to give in support of your application *

Referee Contacts (Provide contacts of three Referees) *

Contact Info

Address

Fire and Rescue Training Centre, Kenya
Prison Road, Kiambu, P.O.Box 2344- 0900 Kiambu

Email Us

firetrack@pcpm.org.pl

Call Us

+254 718 853 681