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Application Form

This document is an application form for study leave for teachers. It provides instructions for completing the form in triplicate and outlines requirements like submitting it 90 days before studies and attaching admission letters. The form requests information from the teacher like their course of study, dates, and contact details. It also requires confirmation from their institution.

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kagiribtech
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21 views3 pages

Application Form

This document is an application form for study leave for teachers. It provides instructions for completing the form in triplicate and outlines requirements like submitting it 90 days before studies and attaching admission letters. The form requests information from the teacher like their course of study, dates, and contact details. It also requires confirmation from their institution.

Uploaded by

kagiribtech
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TSC/HRM/0

1A
REV./ 2013

(Please read and understand the instructions before completing the form)
1. This form is to be completed in triplicate. The original will be sent to the Commission, Duplicate
to the Headteacher and Triplicate to the TSC County Director.

2. Application for study leave must be received at the Teachers Service Commission Headquarters
at least 90 days before commencement of studies.

3. Application for study leave must be accompanied by a copy of the University/College admission
letter.

4. Applicants for the Three (3) months Research leave must attach the following:-

(i) Initial Admission letter


(ii) Coursework completion letter
(iii) Transcripts for units completed

5. A teacher shall NOT leave the duty station before study leave is approved in writing by the
Commission.

6. A teacher will be expected to report for duty on or before the date of expiry of the study leave.

7. Applications for extension of study leave or Change of course or institution must be made to the
Commission at least thirty (30) days in advance.

PART1 (A) TO BE COMPLETED BY THE TEACHER


1 Name …………………………………………… 2. TSC NO ………………………
3 Designation: - Principal Headteacher Deputy Headteacher
4 School/Institution --------------------------------------- Address………………….....
5. Qualifications:
(a) Grade: - P1 DIP GRADUATE
(b) Professional Qualifications: - P1 DIP ED B. ED
(c) Main teaching subject (Post Primary Institutions only) -----------------------------
6. (a) Date of first appointment -----------------------------------------------------------
(b) Date resumed duty from previous study leave -------------------------------------
7. (a) Course you intend to pursue -------------------------------------------------------
(b) Name of University/Institution/College -------------------------------------------
(c) Subjects you intend to study -------------------------------------------------------
8. Period of Study Leave required: from -------------------------- to ………………………..
(State dates as precisely as possible)
9. (a) Contact address during Study leave ------------------------------------------------
(b) Mobile number -------------------------------Email Address………………………
PART I (B)
10. (i) Terms of Service
Permanent & Pensionable Probation TemporaryContract)
(ii) Remuneration
a. Present Basic salary Kshs. ……………………..P.M.
b. Responsibility Allowance ……………………..
c. Hardship Allowance ………………………….
d. Special Allowance ………………………

11. Stations of choice (in order of preference) for posting after study leave.
1.___________________ 2 ________________3 _________________4 ______________
NOTE: The Commission reserves the right to post you where a vacancy exists.
12. I accept to be bonded after my study leave as stipulated in circular letter ref: OP.CAB39/4A
dated 10/4/06 and accept to redeem the bond in full if breached.
NOTE: Attach duly completed bonding forms to your application.
Applicant’s Signature -------------------------------------- Date -----------------------
PART II
(a) TO BE COMPLETED BY THE HEAD OF INSTITUTION

I confirm that NAME TSC NO DEPARTMENT DURATION OF


the school has LEAVE
…………..
Streams and that
the following
teachers from
this school are
currently on
study leave from
this
school/institutio
n. S.NOO
1
2
3
4

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