GRADUATE TRAINEE APPLICATION FORM

INSTRUCTIONS:
Please answer each question clearly and completely. Type or print in ink.
Read carefully and follow all directions / PERSONAL HISTORY / Do not write in this space
Please attach a colored photo
  1. Surname
/
  1. Other names
/
  1. Maiden Name

  1. Date of birth Day Month Year
/
  1. Place of birth
/
  1. Nationality at Birth
/
  1. Present Nationality
/
  1. Sex

  1. Marital Status: Married Separated Widow(er) Divorced Single In a relationship

Permanent Address
Telephone No. / Present Address
Telephone No. / Emergency Contact;
Email

10 Education: N.B Please give the exact name of the institution and the award obtained from there;

A)University/ other tertiary institution:

Name / Years Attended / Award or academic qualification / CGPA or Score

B)Schools or other training/ education (e.g high school)

Name / Years Attended / Award or academic qualification / CGPA or Score
  1. Please list any professional society you are a member of or any professional certificate that you posses;
  1. Please name the research topic/ publication that you have undertaken;

  1. Do you have any health issues or allergies? If yes, please mention the details below.

  1. Do you have any relative employed by a public or international organization?

If yes, please give the following information:

Name / Relationship / Name of organization / Contacts
  1. Do you have any relative who is currently working or has ever worked with Mukwano Group?

If yes, please give the following information:

Name / Position he/she held / Relationship / Contacts
  1. What is your preferred field of work? Or what is your area of specialization? Or which department do you prefer to work in?

  1. Knowledge of Languages: What is your mother tongue?

Other languages

Read / Write / Speak / Understand
Easily / Not Easily / Easily / Not easily / Easily / Not Easily / Easily / Not Easily
  1. Computer Skills; Indicate speed in words per minute when typing

English / Other languages / List below office machines or equipments you can operate
Typing
Shorthand
  1. Work history: Please start with your present post, list in reverse order.

From / To / Salaries/ Allowances per annum
Month/ Year / Month/ Year / Starting / Final / Exact Title of your post:
Name of Employer: / Type of business
Address of Employer; / Name of Supervisor:
Reason for leaving:
Description of your duties
From / To / Salaries/ Allowances per annum
Month/ Year / Month/ Year / Starting / Final / Exact Title of your post:
Name of Employer: / Type of business
Address of Employer: / Name of Supervisor:
Reason for leaving:
Description of your duties:
  1. References: List three persons not related to you who are familiar with your character qualifications and work history. Do not repeat supervisors listed above

  1. Full Name
/ Full Address / Business Occupation

20. State any other relevant facts;

21. Have you ever been arrested, indicated or summoned into court as a defendant in criminal proceedings or convicted or imprisoned for violation of any law (including minor traffic violations)?

Yes No

22. If yes please give full details of the case;
23. I certify that the statements made by myself above are complete and correct to the best of my knowledge. I understand that any misrepresentation or material omission on this form requested by Mukwano Industries (U) Limited renders a staff member liable to termination or dismissal.
Date______Signature______

Doc. No: MUUHR - 53 Revision Date: 29/10/2014 Doc Version: 01