Payroll Numbers (Restoration Form1)

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IPPD-PYN-01-02

REPUBLIC OF KENYA

(3rd Edition, April 2018)

THE PRESIDENCY
MINISTRY OF PUBLIC SERVICE, YOUTH AND GENDER AFFAIRS
STATE DEPARTMENT OF PUBLIC SERVICE AND YOUTH
DIRECTORATE OF PUBLIC SERVICE MANAGEMENT
P.O. BOX 30050 – 00100
NAIROBI

APPLICATION FOR RESTORATION / RE-ACTIVATION OF PAYROLL NUMBER

(This form can be printed, double-sided, from the payroll system)


Note: All applications must be accompanied by a covering letter from the requesting MCDA.

This form applies to a former Public Servant whose Payroll Number was previously deleted
from Government Payroll and wishes to re-enter the Public Service on account of re-
appointment or reinstatement.

1. Application Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2. Applying Ministry/ County/ Dept/Agency: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

3. Employee / Employment Details (At the Time of Exit); attach all supporting documents:

Payroll Number(to restore): Last Pay Certificate


ID Number: National ID-Card
Tax PIN: KRA Tax-PIN Card
Surname:
First Name:
Other Names: All the attached documents should agree on these details
Date of Birth:
Gender:
Ministry/Dept/County/Agency:
Designation Title:
Job-Group:
Type of Engagement: Clearance Certificate & Last Pay Certificate
Pension Scheme:
Date of Exit from Service:
Reason for Exit from Service:
Date of Last Payment: Last Pay Certificate
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IPPD-PYN-01-02

4. Current Appointment Details (Upon Re-entry); attach supporting documents:

Ministry /County /Dept /Agency:


Date of Re-entry:
Reason for Re-entry:
Pay-Group:
Designation Title: The new appointment/reinstatement letter (not letter of offer)
Job-Group:
Type of Engagement:
Pension Scheme:

Request Authorized By Head of HR Application Prepared By Head


of Payroll

Full Name:

PF/Number:

Designation:

Signature:

Date:

FOR OFFICIAL USE BY DIRECTORATE OF PUBLIC SERVICE MANAGEMENT ONLY

PF/Number Full Name Designation Date Signature

Received:

Examined:

Remarks

Approved /
Not Approved:

Remarks

Telegraphic address: “Personnel”, Nairobi


Telephone: Nairobi 020-2227411
Telex: 23125
Fax: 243620

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