TEACHERS SERVICE COMMISSION
| Telephone: Nairobi 2892000 0722208552/0777208552
Email: [email protected] Website: www.tsc.go.ke |
TSC HOUSE KILIMANJARO ROAD UPPER HILL PRIVATE BAG NAIROBI, KENYA |
TEACHERS NEXT-OF-KIN FORM
1. NOTES
- The next of kin will automatically assume the role of legal personal
- Relationship means : Husband/Wife/Son/Daughter/Father/Mother t.c
- Any change on the teacher’s records should be communicated immediately by the teacher to the Commission.
- NAME TSC No. ID/No. .
(Full name in block letters)
- Date of first appointment as (a) Untrained Teacher (UT) .
(b) Trained Teacher (P/P) .
- PERMANENT ADDRESS – P. O. Box ,Code , Town .
- 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. |
(Please turn to page 2)
DEPENDANTS
| S/N | NAME(S) | AGE | RELATION | CONTACT
ADDRESS/PHONE |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. | ||||
| 6. | ||||
| 7. | ||||
| 8. | ||||
| 9. | ||||
| 10. |
- TEACHER’S SIGNATURE , DATE .
- NAME AND ADDRESS OF AREA CHIEF .
.
.
- HEADTEACHER/DEPUTY HEADTEACHER/WITNESS
Name . Address . Sign. , Date .
Official Stamp: .
