| (Rule 225) |
| FORM TO BE FILLED UP BY CANDIDATES FOR SITUATIONS IN THE PRISON SERVICE. |
| Christian and surname (in full) |
| Date of Birth |
| Height |
| Country where born |
| Education—with details of standard reached |
| Single or married—number of children |
| Trade or occupation |
| Previous prison service (if any) |
| Other public service (if any) |
| Length of service (if any) |
| Rank on discharge and date |
| Cause of discharge |
| Character on discharge |
| If receiving any pension, amount |
| Situation for which recommended |
| Address of the candidate |
| I hereby recommend ............................................................... for the situation of |
| .................................................................... |
| Signature of person recommending. |
| Date |
| I hereby certify that ........................................ is in good health, and fit for the duty of ........................................ |
| .................................................................. |
| Medical Officer. |