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