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GHANA STATISTICAL SERVICE
2017 GHANA CENSUS OF AGRICULTURE (CA)
RECRUITMENT FORM

(Please fill the form in CAPS, * indicate required fields. Please make sure your browser's javascript is enabled)


General Details of Applicant
Surname * Please enter your Surname.Please enter your Surname.
First name * Please Enter your Firstname.Please enter your firstname.
Other name(s)
Gender *
Date of birth * Please select day. Please select Month. Please select Year.
Nationality Non Ghanaian
Please Select Nationality.

Place of Residence
       
Region * Please select a region. District * Please select a district. Town/Village

Contact Address, Telephone and Email
Postal address
Email Invalid format.Invalid formatP.
Mobile no. (1) *
Mobile no. (2)
Please enter your mobile no.Invalid format.
Invalid format.

Highest Education
Country Date Attended
From To
 
Area of Study: * Provide your area of study. Qualification: * Please select an item.

Survey Experience
Indicate any relevant experience in Surveys
Title of project (tick all that apply) PHC DHS GABS IBES MRACLS/GAPS Other Specify
Most recent position held
Period of engagement

Work Experience
Indicate any relevant work experience
Institution
Position held
Period of engagement From: To:

Language Proficiency
Use the following ratings to indicate your proficiency in Languages.
(1) With difficulty    (2) Fair     (3)Good     (4) Very Good
Ghanaian Language Read Write Speak Understand

1.
        


2. Other (Specify)        

Identification

Personal Identification * Please select an ID type.
ID Number * Pleas enter your ID number.
Date of Issue * Please select day. Please select month. Please select year.
Expiry Date (if applicable)

References

List two persons, not related to you, who are familiar with your character, qualifications and work
experience
Name of Referee * Relationship with referee * Telephone number * Email address
1) Please provide name of referee. Please indicate relationship. Invalid format.Please enter phone number. Invalid format.
2) Invalid format. Invalid format.

Have you ever been convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)? *
No
If yes, give explanation of each case:

NB: Please note that the statements submitted will be verified

Declaration: I undertake that the information provided is true. I understand that false statements will result in disqualification and may be liable for prosecution.

Disclaimer: Ghana Statistical Service accepts no responsibility, legal or otherwise in the event that this record is intercepted or corrupted in any form by a third party.Please report any anomaly to us and we will deal with it urgently. In view of the expected large number of applicants, we will not be able to reply to each application.
Please make a selection.
     


 

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