REPUBLIC OF RWANDA

PUBLIC SERVICE COMMISSION P.O. BOX 6913 KIGALI website:www.psc.gov.rw e-mail: info@psc.gov.rw

Application form
I. PERSONAL INFORMATION Name of the applicant: NIZEYIMANA Serapie Fathers name: Mothers name: Address: Province/Kigali City: Kigali city District: Sector: Phone Number: E-mail address: II. POSITION Desired institution: Position applied for:

RURANGWA Laurent NIYITEGEKA Anastasie

Kicukiro Gatenga 0783889099 Serapi012@yahoo.fr

IPRC EAST Mathematics Teacher

MOTIVATION (Briefly explain why you are applying for this position)

I really need this job as I want to transfer the knowledge I have in this domain to the next technicians from IPRC EAST. In fact have 3 years of experience as a teacher in secondary school where my students and the school appreciated my contribution and commitment in whatever I planned and offered. If I get this job I ensure you to never be disappointed. Thanks a lot.
III. EDUCATION Name and address of School-Degree/Diploma-Graduation Date
N.B: Graduation date and Diploma/certificate registration number are useful for further verification. Please endeavour to fill the space .

1. University:

1. PhD: 2. Master: 3. Bachelor: degree of Science in Applied Mathematics (KIST)

2. Secondary: 3. Awards: Degree/Diploma obtained:

Mathematics and Phyisics (Runyombyi Secondary school)

1.

2.

3. 4.

4. Graduation date: 5. Awards: Degree/Diploma number IV. Other trainings/Awards

25th march 2010

Bachelor degree of Science in Applied Mathematics

-Industrial attachment at former electrogaz -work as a census in national statistic of rwanda -

V. EMPLOYMENT HISTORY Present /last position: Employer: Address: Position held: Period: Responsibilities:

RBC Kigali Raihis agent 3 months To identify the rate of HIV incidence among people of selected districts of Rwanda by tanking sample of blood which after tested by qualified agents and then give the report of result.

Previous position Employer: Address: Position held: Period: Responsibilities:

MINEDUC Ecole secondaire de Karuganda (Gakenke district) Teacher of Mathematics and physics 2010-2012 Preparation of notes, delivering notes for both subjects, assessing students by giving them oral or written exams and marking according the school calendar.

N.B: If you have any other relevant experience, please explain briefly on a separate sheet and attach it to this form.

VI. REFERENCES Names of referees /Title/Address and Telephone numbers N.B: Referees must only be your previous/current Employers or your Higher Education teachers

1.HABYARIMANA Jean Damascene :Head teacher at Karuganda Secondary school (0788499651) 2.NDANGUZA Denny: Teacher at KIST (0785019989)

3.Dr.KARANGWA Desire: Dean of Faculty of science at KIST (0788452386)

N.B: Before any appointment, only the successful candidates will be

required to provide a notarized copy of the degree/ diploma, criminal record,, one passport photo and any other notarized copy of any training certificate.

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above. Signature: NIZEYIMANA Serapie Date: 28th august 2013 --------------------------------------------------------------------------------------------------------------------For Official use only Application form received by:.. Date Short Listed Not Short Listed . If not, reason(s) ..

Checked by .. Signature _________________________ Date _____________