OAG&DOJ. 1.

2024

REPUBLIC OF KENYA

OFFICE OF THE ATTORNEY GENERAL

&
DEPARTMENT OF JUSTICE

APPLICATION FOR EMPLOYMENT FORM

Please complete all sections of this form as appropriate in BLOCK letters and submit to the Solicitor General, P.O.BOX
40112, 00100 NAIROBI, KENYA, or apply On-line via the OAG&DOJ’s Website www.statelaw.go.ke (Do not attach
copies of certificates and testimonials).

1. Vacancy Applied For

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Vacancy/Post: …………………………………………………………………………......................................................Vacancy No:………………....

2. Personal Details of the Applicant

Name: ……………………………….….....………..………….…..……..… ……………………………… ...... Title:………………………….

(Surname) First Name Other Name(s): (Prof/Dr/Mr/Mrs/Miss/Ms/Rev)

Date of Birth.................................................. ID No:……………………….. PIN.NO............................................Gender: Male Female

(dd-mm-yyyy)

Nationality:…………………………..............Ethnicity ................................................ Home County:………………………………….................. Sub

County ............................................................................................Constituency: ...................................... ..................................................................

Postal Address:…………………………………………… Code:………………………………….. Town/City: ……………………….......................

Telephone No:……………………………………Mobile No:………………………………E-mail address:…………......…….…….……….............

Name of alternative contact person:……….………………......................................................Telephone No:……………………………........................

Are you living with a disability? Yes No

If yes, give;
(i) Details/Nature of Disability:…………………………………………………………………………………………...…………………..........

(ii) Details of Registration with the National Council for People with Disabilities (Registration No. and date) ..................................................................

3. Other Personal Details

Have you ever been convicted of any criminal offence or a subject of probation order? Yes No

If Yes, state nature of offence, the year and duration of conviction ............................................................................................................................. ......
............................................................................................................ ............................................................................................................................. .......

Have you ever been dismissed or otherwise removed from employment? Yes No

If Yes, State reason (s) for dismissal/removal…………………..…………………………………………………….….effective date………………

(dd-mm-yyyy)

(Declaring the above information will not necessarily debar an applicant from employment in the OAG&DOJ. Each case will be considered on its
own merit)

P.O Box 40112-00100, NAIROBI, KENYA.TEL:+254 20 2227461-9/2251355/0700072929/0732529995 EMAIL: info@ag.go.ke WEBSITE: www.statelaw.go.ke
4. Academic Qualifications. (Starting with the Highest)

Award/Attainment
Course/Programme Specialization/Subject
University/ (e.g. Masters,
Year (e.g. PhD, MSc, BA, (e. g Econ, Maths, Class/Grade
High School Bachelors, Degree,
O’Level) Sociology e.t.c)
KCSE)
From To

5. Professional/Technical Qualifications/Certifications Relevant to the post. (Starting with the Highest)

Year Specialization/Subject
Award/Attainment
(e. g Human Resource,
Institution (e.g. Higher Diploma, Diploma, Class/Grade
Engineering, Counselling
From To Certificate)
e.t.c)

P.O Box 40112-00100, NAIROBI, KENYA.TEL:+254 20 2227461-9/2251355/0700072929/0732529995 EMAIL: info@ag.go.ke WEBSITE: www.statelaw.go.ke
 6.Current Registration/Membership to Professional Bodies

Membership type (e.g. Date of Renewal

Professional Body Membership/Registration No.
Associate, Full etc)

9. 7.Employment Details - where applicable (starting with the current or most recent)
Job Group/Grade
Designation/ Position /Scale Ministry/State Department/
Year
Gross Monthly Salary Institution/ Organization
(Ksh.)
From To
(dd-mm- (dd-mm-
yyyy) yyyy)

8. Briefly state your current duties, responsibilities and assignments (if any)

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9. Please give details of your abilities, skills and experience which you consider relevant to the position applied for. This information may include
an outline of your most recent achievements and your reasons for applying for this post.

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P.O Box 40112-00100, NAIROBI, KENYA.TEL:+254 20 2227461-9/2251355/0700072929/0732529995 EMAIL: info@ag.go.ke WEBSITE:www.statelaw.go.ke

10. 10. Referees (people who have interacted with you professionally)

1. Full Name:……………………………………………………………………………..………………………………………………………………...

Occupation:…………………………………………………………………………………...…………………………………………………………….

Address:………………………………………………………Post Code:………………………………...City/Town: …………....................................

Mobile No:…………………………………………………………… E-mail address:……………………………………………………….................

Period for which the referee has known you:……………………………………..……………………………………………………........................

2. Full Name:……………………………………………………………………………….……………….……………………………………………...

Occupation:………………………………………………………………………………………………..…………………………….………………….

Address:……………………………………………............ Post Code:……………………………….......City/Town: ………………………………....

Mobile No:……………………………………………....................... E-mail address:……………………………………………………......................

Period for which the referee has known you:……………………………………………………………….…………………………………….……......

11. Declaration

I certify that the particulars given on this form are correct and understand that any incorrect /misleading information may lead to disqualification
and/or legal action.

Date: ……………………………. ……………………………..

(dd-mm-yyyy) Signature of the Applicant

P.O Box 40112-00100, NAIROBI, KENYA.TEL:+254 20 2227461-9/2251355/0700072929/0732529995 EMAIL: info@ag.go.ke WEBSITE:www.statelaw.go.ke