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    Teachers Next-of-Kin Form

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    rapidotechnologies24
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    © All Rights Reserved
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    Teachers Next-of-Kin Form

    Uploaded by

    rapidotechnologies24
    8K views2 pages
    DFGFG

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    DFGFG

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8K views2 pages

    Teachers Next-of-Kin Form

    Uploaded by

    rapidotechnologies24
    DFGFG

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    TEACHERS SERVICE COMMISSION

    Telephone: Nairobi 2892000 TSC HOUSE


    0722208552/0777208552 KILIMANJARO ROAD
    Email: info@tsc.go.ke UPPER HILL
    PRIVATE BAG
    Website: www.tsc.go.ke
    NAIROBI, KENYA

    TEACHERS NEXT-OF-KIN FORM

    1. NOTES
    a) The next of kin will automatically assume the role of legal personal representative.
    b) Relationship means : Husband/Wife/Son/Daughter/Father/Mother e.t.c
    c) Any change on the teacher’s records should be communicated immediately by the teacher to
    the Commission.

    2. NAME TSC No. ID/No. .


    (Full name in block letters)

    3. Date of first appointment as (a) Untrained Teacher (UT) .


    (b) Trained Teacher (P/P) .

    4. PERMANENT ADDRESS - P. O. Box ,Code , Town .

    5. HOME DISTRICT , DIVISION ,LOCATION .


    6. DECLARATION:
    I, Mr/Mrs/Miss/Dr/. ,ID/No. .
    hereby declare/ nominate the following as my next of kin and dependants:-

    NEXT OF KIN
    S/N NAME(S) AGE RELATION CONTACT
    ADDRESS/PHONE
    1.
    2.
    3.
    4.
    5.
    (Please turn to page 2)

    DEPENDANTS
    S/N NAME(S) AGE RELATION CONTACT
    ADDRESS/PHONE
    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
    10.

    7. TEACHER’S SIGNATURE , DATE .

    8. NAME AND ADDRESS OF AREA CHIEF .

    9. HEADTEACHER/DEPUTY HEADTEACHER/WITNESS
    Name .
    Address .
    Sign. , Date .

    Official Stamp: .

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