TEACHERS SERVICE COMMISSION, TSC
TEACHERS NEXT-OF-KIN FORM
Get a PDF of the TEACHERS NEXT-OF-KIN FORM HERE.
1. NOTES
a) The next of kin will automatically assume the role of legal personal representative.
b) Relationship means : Husband/Wife/Son/Daughter/Father/Mother e.t.c
c) Any change on the teacher’s records should be communicated immediately by the teacher to the Commission.
2. NAME TSC No. ID/No. .
(Full name in block letters)
3. Date of first appointment as (a) Untrained Teacher (UT) .
(b) Trained Teacher (P/P) .
4. PERMANENT ADDRESS – P. O. Box ,Code , Town .
5. 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 |