JAMAICA CONSTABULARY

APPLICATION FOR ENLISTMENT

DATE. ___/___/___

RECRUITING CENTRE: (Tick the appropriate box) □Area 1 □Area 2 □Area 3 □Kingston

Applying to become a member of the □JCF □ISCF □Rural Police (DC) □Police Cadet Passport size Photograph

TRN:_________________

● Please complete this form in your own handwriting in BLOCK CAPITALS using a black or blue ink ball point pen.
● Sections which do not apply to you should be clearly marked N/A
● Please use additional paper to provide information where the space provided is not adequate.

SECTION A
PERSONAL DETAILS

Surname First Middle Name(s)

Alias(s) Gender Place of Birth Parish of Birth

□ M. □ F
Date of Birth (mm-dd-yyyy) Age Marital Status Religion
□ Single □ Common Law □ Married □ Separated □ Divorce □ Widow

NIS #__________________ Passport #__________________ Voters ID #_________________

Present Address
Street or Post Office Box District Parish

Country of Residence Nationality Jamaican nationality by: □Birth □Registration □Naturalization

Tele: Home: Cell: Work: Email address:

List full addresses of places of residence for the last 10 years

Names of persons to be contacted in case of emergency

Names Relationship Full Address Telephone
 Enter particulars of every country visited on business, vacation, leisure etc
Country Date Date Purpose of Trip Full Address(es) stayed Name of Hosts/hostesses
Departed Return overseas

Distinguishing Marks
Do you have any distinguishing marks? □Yes □No If YES, describe their nature and location.

Do you have any tattoo(s) on your arms, neck, forearms or face? □Yes □No If YES, describe their nature and location.

School attended (list all schools attended in chronological order)

General Education ( Secondary or High School)
School Year Attended Subjects * Passed Grade Year Taken
From To
CXC, GCE , A Level

*Please indicate if general or basic proficiency by utilizing the following: gp for general proficiency & bp for basic proficiency

Further Education (Tertiary)

Educational Institution Address Year Attended Certification
From To

Foreign languages spoken and level of competencies e.g. read, write, speaks fluently.

Language(s) Level of competency

Special Skills e.g. auto mechanic, computer technician, programmer, networking etc.

Overseas Travel Information (List every country of residence outside of Jamaica)

Country Date Migrated Date Returned Address(es) of residence Reason for Return to Jamaica

SECTION B
FAMILY DETAILS
Relationship Full Name Date of Birth Full Address(including overseas address(es)

Spouse or Partner

Father

Mother

Foster/Step Parents
Children
Full Name(s) Age Date of Full Address(es) Occupation
Birth

Particulars of brothers and sisters (including overseas address(es)

Name(s) and aliases Age Date of Full Address(es) Occupation
Birth

Particulars of friends/close associates

Name(es) and Aliases Age Date of Address Occupation
Birth

Do you have dependents other than those listed above? □ Yes □ No If so, state their relationship and the extent of their dependence on you?
Names Age Full Addresses(es) Relationship Extent of
Dependence
 SECTION C
EMPLOYMENT DETAILS. Start with the present or most recent.
Capacity in which Dates Salary Reasons for leaving
Name of Employer Address Employed
From To

List agencies to which recent job application has been made

Name of Company /Agency Position applied for Status of Application

References
Give the names and addresses of two referees
Referee 1 Referee 2
Name Name

Status Status

Address Address

State period of time known by referee State period of time known by referee

Referee’s Telephone number (s) Referee’s Telephone number (s)

May we contact this referee prior to interview? □Yes □No May we contact this referee prior to interview? □Yes □No

Previous Application
Have you previously applied for entry to the J.C.F. or I.S.C.F.? If yes, give details of date and results.
Date of Application Examination Centre Result/Outcome of application

Previous civil or military services

Have you served in the military, police, customs, immigration, or correctional services etc. locally/abroad? If yes, give details.
Name of group Membership Status From To

Reason for discharge

Civic; community groups & service clubs: Give status and period of membership. State reason for leaving if membership
has been terminated.

State your business interest(s) including position, share holding, etc

Conviction and Cautions (Locally and Abroad)
□Yes □No
Have you ever been the subject of any criminal investigations?
Have you ever been summoned for an offence? □Yes □No
Have you ever been charged for an offence? □Yes □No
Have you ever been convicted for any offence? □Yes □No
Have you ever been warned or cautioned by the police? □Yes □No

If you have answered YES, please enter details below.

Date (most recent first) Offence / Alleged Offence Court / Police Station Involved Result (if known)

Have you ever use of ganja, narcotic drugs or other Banned Substance(s) ? If yes, state below the substance(s) you use, the last time
you use it/them and your frequency in using it/them and the usual after effect..
Name of Substance(s) Used Last time substance was Frequency After effect
used

I have completed this form on my own free will knowing that if I write any false information or fail to provide information that
is required I will be disqualified from entry to the Jamaica Constabulary Force, or if discovered at a later date after my
appointment, will lead to my dismissal.

Signature of Applicant: ....................................................... Date: ..........................................

 SECTION D

(TO BE COMPLETED BY RECRUITING OFFICER)

Result of Written (Entry) Examination □ PASSED □ FAILED Final Grade □ A □B□C □ D□E

Height Feet/Centimeters Weight LBS/Kilograms Chest measurements Inch. /Centimeters

BIRTH CERTIFICATE: □ Produced □ Not produced Birth Certificate # ………………….

Signature of Recruiting Sub-Officer:__________________________________Date:______________

SECTION E
(TO BE COMPLETED BY THE CENTRAL RECRUITING OFFICE)

ASSESSMENT CENTRE RESULT

□ Excellent □ Good □ Satisfactory □ Poor □ Below Standard

Interview Result Antecedent Result

□ Successful □ Unsuccessful □ Recommended □ Not Recommended

COMMENTS:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Signature: __________________________________Date:______________

Medical Results
Medical Examination □ Satisfactory □ Unsatisfactory □ Inconclusive
Blood Test □ Satisfactory □ Unsatisfactory □ Inconclusive
Chest X-Ray □ Satisfactory □ Unsatisfactory □ Inconclusive
Urine □ Satisfactory □ Unsatisfactory □ Inconclusive
Physical Examination □ Satisfactory □ Unsatisfactory □ Inconclusive

Security Checks
Special Branch □ Satisfactory □ Unsatisfactory □ Inconclusive
Nat. Intel. Bureau □ Satisfactory □ Unsatisfactory □ Inconclusive
Narcotics □ Satisfactory □ Unsatisfactory □ Inconclusive
Finger Print □ Satisfactory □ Unsatisfactory □ Inconclusive

COMMENTS
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Signature of Officer doing final vetting: __________________________________Date:______________

Signature of Officer approving call up for training: __________________________________Date:______________