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Download MsWord Application form

NOTES to Applicants

  1. This form should be completed (typed or completed in BLOCK LETTERS) and returned to:

The Principal   

Institute for Meteorological Training and Research (IMTR)

P.O. Box 30259 – 00100 GPO, Nairobi, KENYA

Tel: +254 (0)20 3867880-5

Cell: +254-(0)724 255153-4 or , +254-(0)736 655153-4

Fax: +254 (0)20 3877373/3867888/3876957

Email: imtr@meteo.go.ke

Website: http://www.meteo.go.ke/imtr    

  1. Attach copies of a medical examination certificate, which will be required for medical insurance purposes upon admission.

  2. Affix your current passport size photograph on each form.

APPLICATION FORM  (To be completed by the applicant)

1.    Course Applied for................................................................................................................................................

                                    ...................................................................................................................................................

  2.    Personal Details

  1. Family name.............................................First name.......................................................

  2. Other names................................................................

  3. Date of birth...........................................................

  4. Gender ..........................................................................

  5. Marital Status........................................................

  6. Country of birth....................................................

  7. Citizenship/Nationality.............................................................

  8. Official address.............................................................................................

    ...................................................................................................................................................

Tel: ..................................Mobile: ............................Fax: ........................e.mail: ...........................……

  1. Home address...........................................................................................................................

  2. Name and address of sponsor....................................................................................................................….

                                ..............................................................................................................................................

3.    Academic/Professional  Record

Give details of your academic record starting from Secondary school education onwards. Start with the most recent institution work backwards (reverse chronological order)..

Name of institution and place of study

From(yr.)

To(yr.)

Major field of study

Certificate/Diploma/Degree awarded

 

NB. Please enclose certified copies of your certificates/diploma/degrees.

4.    Employment Record

Give details of your employment record to date, indicating, the number of years of service and your current designation.

............................................................................................................................................................

............................................................................................................................................................

............................................................................................................................................................

5.    Language proficiency

  1. What languages do you speak?

  2. ...........................................................................................
  3. How do you rate your English language? (tick your choice)

Spoken:     Fair  .........      Good ...........         Excellent ............

Written:     Fair  .........      Good ...........         Excellent ............

6.    Physical wellbeing

  1. Do you suffer any physical impairment or chronic illness?   ................

  2. If yes, give details. ...................................................................................................................................………

.........................................................................................................................................................................………

7. Name and address of the sponsor

    ...................................................................................................................................................

    ..................................................................................................................................................

    ...................................................................................................................................................

8.    Signature of applicant..............................................Date...........................................

 

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