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Bank of Uganda Ref:

Job Application Form

Please answer each question clearly and completely. Read carefully and follow all
directions. TYPE OR PRINT LEGIBLY.

1. PERSONAL INFORMATION

Surname Name:
Other Name (s):
Maiden Name (if applicable):
Date of Birth:
Present Nationality:
National ID No:

Gender:
Permanent Address:
Telephone Number (s):
E-mail Address:

Indicate Preferred working location (district) i.e: Kampala, Jinja, Masaka, Mbarara,
Gulu, Arua, Kabale, Fort Portal or Mbale (Candidates should however be willing to
be deployed to work in any of the Bank’s branches):

2. QUALIFICATIONS:

EDUCATION, Give full details - N.B: Please give exact titles of Diplomas and
Certificates in original language.

Schools or Other Formal Training (UCE, UACE, Diploma, Certificates)


No. Qualification School/Institution Attended From Attended to
Obtained Dd/mm/yyyy Dd/mm/yyyy

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Bank of Uganda Ref:

Job Application Form

3. EMPLOYMENT RECORD

Please fill in details of your employment record below in chronological order, starting
with your current or latest position. Use a separate block for each post.

A. Present Post
Exact Title of Name of Employer From To
Post Month/Year Month/Year

Address Of Employer :

Type of Organisation e.g.


NGO, Government, Private etc
Description Of Duties

B. Previous Post
Exact Title of Name of Employer From To
Post Month/Year Month/Year

Address Of Employer : Reason (s) for leaving

Type of Organisation e.g.


NGO, Government, Private etc
Description Of Duties

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Bank of Uganda Ref:

Job Application Form

C. Previous Post
Exact Title of Name of Employer From To
Post Month/Year Month/Year

Address Of Employer : Reason (s) for leaving

Type of Organisation e.g.


NGO, Government, Private etc
Description Of Duties

D. Previous Post
Exact Title Name Of From To
Of Post Employer Month/Year Month/Year

Address Of Employer : Reason (s) for leaving

Type of Organisation e.g.


NGO, Government, Private etc
Description Of Duties

3
Bank of Uganda Ref:

Job Application Form

8. What are your major skills and behavioral characteristics that can be assets to the
post you have applied for?
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………

9. REFEREES

List the name of the three persons, not related to you who are familiar with your
character and qualifications

Full Name Full Address & Business Phone Number


Email Occupation

10. Any other additional information you would like to add:


…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………

11. I, …………………………………………………….. certify that the statements made


by me to answer the foregoing questions are true and complete to the best of my
knowledge. I understand that any misrepresentation or material omission made
on this form may render my candidature null & void or lead to termination of
employment.

Date:____________________________ Signature:___________________________

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