APPLICATION FORM

1.0 INSTRUCTIONS:
1.1 Please read the Notice of Vacancy carefully before completing this Form.
1.2 You should give as many details as possible of your skills and experience relating to this job.
1.3 Incomplete inadequate or inaccurate filling of the Application Form may entail elimination of the
candidate.
1.4 By signing and submitting this Application Form, applicants consent to the Independent Police
Complaints Commission using and keeping relating information. This information will be used
solely for this selection exercise.

2.0 POST APPLIED FOR: ……………………………………………………………………………………...

3.0 PERSONAL DETAILS:

3.1 Surname (in block letters): …………………………………………………………………………………

3.2 Other Names (in block letters): …………………………………………………………………………….

3.3 Maiden Name (if applicable, in block letters): ……………………………………………………………

3.4 Sex: Male Female

(tick as appropriate)

3.5 National Identity Card No.: …………………………………………………………………………………

3.6 Date of Birth (dd-mm-yyyy): ………………………………………… Age: ……………...… years old

3.7 Residential Address (in block letters): ……………............................................................................

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3.8 Telephone Nos: (Home): .................................................... (Mobile): ...........................................

3.9 Email Address: ……………................................................................................................................

4.0 EDUCATIONAL DETAILS
4.1 SECONDARY ORDINARY LEVEL
Examining Body: ...............................................................................................................................

Name and address of College/School: .............................................................................................

Certificate obtained: SC GCE (O) Other (specify): ...............................................

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Month/Year of Examination: .................................. Result: .................... Aggregate: ......................

Year: ............ Year: ............

Subject
Grade: ........... Grade: ...........

4.2 SECONDARY ADVANCED LEVEL

Examining Body: ...............................................................................................................................

Name and address of College/School: .............................................................................................

Certificate obtained: HSC GCE (A) Other (specify): ...............................................

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Month/Year of Examination: .................................. Result: .................... Aggregate: ......................

Year: ............ Year: ............ Year: ............ Year: ............

Subsidiary
Main Subject
Grade: ........... Grade: ........... Subject
Grade: ........... Grade: ...........

General
Paper
4.3 DEGREE/PROFESSIONAL QUALIFICATIONS (Attached photocopies of marksheets)

Qualification Name of Examining Period

Result
Obtained (please specify) Body & Country (From…. To……)

4.4 OTHER QUALIFICATIONS

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5.0 EXPERIENCE AND SKILLS RELEVANT TO THE POST APPLIED FOR

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EMPLOYMENT HISTORY

6.0 Current/Most Recent

Job Title:
Employer Name:

Address: Salary:

From: To: Benefits:

Reasons for Leaving:

Period of Notice required:

Major responsibilities, duties and any significant contributions:

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6.1 Previous Employment History

Positions (in From To Name & Address of Employer

chronological order)
7.0 ADDITIONAL INFORMATION:

1) Have you ever been prosecuted before a court of law?

Yes No
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(tick as appropriate)

If yes, give details.

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2) Have you ever resigned or been dismissed or retired from any previous employment on any
grounds whatsoever?

Yes No
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(tick as appropriate)

If yes, give details.

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3) Are you related to anyone currently paid by the Independent Police Complaints Commission?

Yes No
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(tick as appropriate)

If yes, give details.

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4) If selected for the post, when will you be available to start employment?

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8.0 DECLARATION

I, .............................................................................................................. , the undersigned

hereby, declare that the particulars in this application form are true and accurate and that I have

not wilfully suppressed any material fact.

Signature: ….…………………
Date: ……………………….…