This document appears to be an application form for a census job in Tanzania. It requests the applicant's personal information like name, date of birth, gender, education history, and contact details. It also asks for the applicant's work experience including previous roles and dates of employment. There are sections for references' contact information and the applicant's current address. The form is to be filled in capital letters and signed by the applicant, requesting a job in census work from the National Bureau of Statistics.

1. Na.
1 JINA KAMILI
JINA LA KWANZA JINA LA KATI JINA LA MWISHO
2 TAREHE YA KUZALIWA
SIKU (TAREHE) MWEZI MWAKA
3 JINSI (WEKA √) 1. ME ( )
2. KE ( )
3 ELIMU (TAJA JINA LA SHULE/CHUO NA MWAKA WA KUHITIMU - ANZA NA SHULE YA MSINGI)
JINA LA SHULE
MWAKA WA
KUHITIMU
NGAZI
ULIYOHITIMU FANI ALIYOSOMEA
3.1
3.2
3.3
3.4
3.5
4
JINA LA MRADI
(ANDIKA KIFUPI) NAFASI YAKO
MUDA (KUANZIA
LINI HADI LINI)
4.1
4.2
4.3
4.4
5 UZOEFU WA KAZI (NJE YA NBS - ACHA WAZI KAMA HUJAWAHI KUFANYA KAZI POPOTE NJE YA NBS)
JINA LA TAASISI
JINA LA
MRADI/KAZI
CHEO/NAFASI
YAKO MKOA ULIOFANYIA
MUDA (KUANZIA
LINI HADI LINI)
5.1
5.2
5.3
6 TAARIFA ZA WADHAMINI
Na. YA SIMU BARUA-PEPE
6.1
6.2
6.3
7 MAHALI UNAPOISHI KWA SASA MKOA: WILAYA
8 NAMBA ZA SIMU ZA KIGANJANI ZA MWOMBAJI
9 ANUANI
9.1 ANUANI YA POSTA
9.2 BARUA-PEPE
10 SAINI YA MWOMBAJI
FOMU YA MAELEZO YA KUOMBA KAZI YA KUTENGA MAENEO YA SENSA YA WATU NA MAKAZI YA 2022
(IJAZWE KWA HERUFI KUBWA NA MLETA MAOMBI YA KAZI)
OFISI YA TAIFA YA TAKWIMU
JINA KAMILI LA MDHAMINI
UZOEFU WA KAZI (NDANI YA NBS ANZA NA KAZI ULIYOFANYA MARA YA MWISHO - ACHA WAZI KAMA HUJAWAHI KUFANYA NBS)