Lagos State Health Service Commission Form PDF Details

In the bustling metropolis of Lagos, the Lagos State Health Service Commission plays a pivotal role in ensuring that healthcare facilities across the state are staffed by qualified and competent professionals. At the heart of this mission is the commission's application form, a comprehensive document designed to rigorously evaluate potential candidates who aspire to contribute to the healthcare sector within Lagos State. This form, requiring completion in the applicant's handwriting, demands attention to detail, starting with personal information, educational background, employment history, and even extending to personal references. Each section, from detailing the post applied for to elucidating on one's educational qualifications and employment history, is meticulously crafted to glean comprehensive insights into the applicant's capabilities and integrity. Notably, the form underscores the importance of accuracy and honesty, warning that any attempt to provide false information not only undermines the application process but is also punishable by law. In addition, it highlights the prohibition of canvassing, emphasizing the commission's dedication to a fair and merit-based selection process. Presented with spaces for passport photographs and replete with instructions for supplementary documents, such as certified copies of educational certificates, the form serves as a critical first step for those seeking to navigate their careers within Lagos State's health services.

QuestionAnswer
Form NameLagos State Health Service Commission Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesishsc recruitment com ng, lagos state ministry of health recruitment 2021, hsc recruitment 2021, lshsc recruitment

Form Preview Example

LAGOS STATE HEALTH SERVICE COM M ISSION

APPLICATION FOR APPOINTM ENT

Candidat es m ust com plet e applicat ion form s in t heir ow n hand w rit ing and subm it t o:

The Off ice of Chairm an

Lagos St at e Healt h Service Com m ission

1 Ganiu Sm it h St reet , Lagos

Affix t w o

recent passport

phot ographs

here

Please not e t he follow ing:

1.Failure t o com plet e t his form accurat ely m ay delay considerat ion of t he applicat ion.

2.Candidat es are rem inded t hat it is an offence f or any person t o give inf orm at ion w hich he know s or believes t o be false.

3.Canvassing is forbidden and m ay lead t o disqualificat ion w hen uncovered.

SECTION 1

Post for w hich applicat ion is being m ade-------------------------------------------------------------------------

SECTION 2 (PERSONAL DETAILS)

1)

Full Nam e--------------------------------------------------- ----------------------------------------------------

 

 

Surnam e (IN BLOCK LETTERS)

ot her nam es

2)

M aiden Nam e (if any) ----------------------------------------------------------------------------------------

 

3)

Dat e of Birt h---------------------------------

Place of Birt h--------------------------

Sex-------------------

 

St at e of Origin--------------------------------------------

LGA-------------------------------------------------

4)

Nat ionalit y------------------------------------------------------------------------------------------------------

 

5)

M arit al St at us--------------------------------------------

(M arried, Widow ed, Single, Divorced et c)

6)

Fat her’s Nam e------------------------------------------

Place of Birt h--------------------------------------

7)

M ot her’s Nam e-----------------------------------------

Place of Birt h--------------------------------------

8)Present Address------------------------------------------------------------------------------------------------

9)Hom e Address--------------------------------------------------------------------------------------------------

 

(if dif ferent f rom above)

10) M obile Phone

----------------------------------- Em ail ID----------------------------------------------------

11) Next of Kin and Relat ionship--------------------------------------------------------------------------------

 

1

SECTION 3 (DETAILS OF EDUCATION)

NB: Photostat or Certified copies of certificates must accompany this form (originals must be presented at the interview )

Primary Education

Name of School/ College

From:

To:

Qualification

 

 

dd/ mm/ yy

dd/ mm/ yy

Attained

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post Primary Education

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Higher Education/ University

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)Ot her degrees, diplom as or t echnical qualificat ions obt ained-------------------------------------

---------------------------------------------------------------------------------------------------------------------

(b)M em bership of any Professional Body-------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------

SECTION 4 (EM PLOYM ENT HISTORY)

EM PLOYER (Name & Full Address)

POSITION HELD

FROM

TO

REASON FOR LEAVING

(c)Have you ever been convict ed of any crim inal offence in a court of com pet ent jurisdict ion? If yes, st at e t ype of of fence and penalt y-----------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------------------------

(d)Give nam es and addresses of t w o personal ref erees (not relat ives) w ho should be able t o com m ent on your abilit y t o perform t he dut ies of t he posit ion you are applying for . One of

2

w hich should be a Civil Servant on Grade Level 12 and above w ho has spent at least 3 years in service.

Nam e----------------------------------------------------------

Posit ion--------------------------------------------------

Address--------------------------------------------------------------------------------------------------------------------

Nam e---------------------------------------------------------

Posit ion---------------------------------------------------

Address--------------------------------------------------------------------------------------------------------------------

(e)Any ot her relevant inform at ion---------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------------------------

3

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yes st at e type of offence and, d Give names and addresses of t w, and LEAVING in lshsc recruitment com ng

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