TEACHERS SERVICE COMMISSION, TSC, NEXT OF KIN FORM

Telephone: Nairobi 2892000 0722208552/0777208552 Email  info@tsc.go.k

Website  www.tsc.go.k

TSC HOUSE

KILIMANJARO ROAD UPPER HILL

PRIVATE BAG
NAIROBI, KENYA

TEACHERS NEXT-OF-KIN FORM

1. NOTES
2. a) The next of kin will automatically assume the role of legal personal representative.
3. b) Relationship means : Husband/Wife/Son/Daughter/Father/Mother e.t.c
4. 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.

 

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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