Submission – Ministry of Public Service Intranet

Personal Information

Full Name*

First Name*

Last Name*

DOB (dd-mm-yy)*

Email Address:

Home Address

Cell Phone Number:

Sex:*

Female Male

Ministry*

National ID Number:

TIN Number

NIS

Highest Level of Qualification

PhD Masters Postgraduate Degree/Diploma Bachelors Degree Associate Degree/Diploma Certificate CSEC

Qualifications Additional Notes

Bonding Status

Position*

Activity Status*

Employee Status*

Position Status

Date Joined (dd-mm-yy):

Join Date additional Information:

Appointment Date (dd-mm-yy):

Present App. Date (dd-mm-yy):

Present Appointment Date Additional Notes

Employment Date (dd-mm-yy):

Retirement Date (dd-mm-yy):

Band:*

Contract Number:

Government Order No:

Leave Entitlement:

14 Days 21 Days 28 Days 35 Days 42 Days

Deferred Leave

Total Leave for Year:

No. of Days Utilized:

Special Leave:

Leave Remaining

Personal Notes

Employee Additional Notes