ALL NEEDS LIMITED

[General Merchants, Supermarkets and Wholesales]

Employees
EMPLOYEE RECORD FORM Photo

Surname

Other Names

Date of Birth Place & Country

of Birth

Sex: Male Female Marital Status: Married Not Married

Nationality
Profession

Knowledge of Speak Write Read

Languages Good Average Basic Good Average Basic Good Average Basic

Home-Town

Postal Address

Phone/Fax number if any

Current Town/City/Place of Residence

Street name/House Number

Phone/Fax number if any

Employee Social Security Number

Date Hired by All Needs Ltd

Educational Record

Secondary/Technical/Commercial/Others
From To Name and Place of Institution Major Fields of Study Degree, Diploma,
Certificate

University
From To Name and Place of Institution Major Fields of Study Degree, Diploma,
Certificate

Other Educational Institutions [correspondence and short duration courses, etc.]

From To Name and Place of Institution Major Fields of Study Degree, Diploma,
Certificate

Employment Record

From To Employer 1. Position Held

2. Description of duties performed
1.

2.
1.

2.
1.

2.
1.

2.

Family Record
1. Name of Spouse
Home Town
 Address

Phone
Current City / Place
of residence

Address

Phone
2. Name of Child Date of Birth
1.
2.
3.
4.
5.

3. Name of Father *
Address
Phone

4. Name of Mother *
Address
Phone
*State whether deceased or not.

5. Next-of-Kin
Address
Phone

EMPLOYEE DECLARATION

I hereby declare that the statements made by me on this form are true, complete and correct. I also
accept to abide by the Company’s rules and regulations.

Signed:……………………………………………….. Date:……………………………………

Witness:………………………………………………. Date:……………………………………..

Official Use Only

Job Record
Employee ID Number Department

Duty Station
Job Title

Employee Bankers Salary

Bank Account Number

Date of Submission:……………………………………….

Received by:…………………………………………………. Date:………………………….

Records Amendment:

Date Signed
Date Signed
Date Signed
Date Signed

GUARANTOR’S
GUARANTOR’S INDEMNITY FORM
PASSPORT
PHOTOGRAPH
 NAME OF STAFF

GUARANTOR’S PARTICULARS

INDEMNITY

I …………………………………………………………….. undertake to stand in as surety for the above-named

now employee of ALL NEEDS LIMITED. I further undertake that I should be held liable
for any misappropriation of funds/damages or otherwise caused by the above during
his/her tenure of office.

NAME

HOMETOWN

PLACE OF RESIDENCE

HOUSE NUMBER

POSTAL ADDRESS

PHONE NUMBER

Signed:……………………………………………………………. Date:……………………..…………

ALL NEEDS LIMITED

OATH OF SECRECY
[To be made by every member of Staff of ALL NEEDS LIMITED]

I ……………………………………………………………… having been appointed a member of Staff of ALL

NEEDS LIMITED do hereby solemnly declare that I will observe and keep the strictest Secrecy
respecting any written or oral information acquired or obtained in the course of my duties and
functions in regard to the operations and affairs of ALL NEEDS LIMITED, the customers and of any
other persons with whom the Company may have dealings or transactions.

I do further solemnly declare that I will not divulge, disclose or otherwise make known any
information whatsoever regarding the afore-mentioned affairs to a third party except specifically
authorized in writing by the Managing Director of ALL NEEDS LIMITED or under the compulsion of
a Court of Law of competent Jurisdiction.

I do further solemnly declare that should I at any time commit a breach of this my solemn
Declaration of Secrecy, I shall submit myself to examination and suffer the penalty according to the
regulations of the company.

Declared at ………………………………… this …………… day of …….…………………….20….…

SIGNATURE

STAFF ENGAGEMENT FORM

NAME: DATE OF BIRTH:

ADDRESS:

HOME ADDRESS:

MARITAL STATUS:

PRESENT STATUS:

PRESENT SALARY: EXPECTED SALARY:

NAME & ADDRESS OF SURETY:

REASONS FOR LEAVING PRESENT EMPLOYMENT:

WORKING EXPERIENCE:

QUALIFICATION:

REFEREES:

COMMENTS: [For official use]

GUARANTOR’S INDEMNITY FORM

Guarantors
Name of Guarantor…………………………………………………………………. Photo

Relationship with Employee………………………………………………………

Postal Address…………………………………………………………………………

…………………………………………………………………………………………………….

City/Town/Place of Residence…………………………………………………

Street and House Number………………………………………………………..

Place of work (if any)…………………………………………………………

DECLARATION

I ………………………………………………. …..undertake to stand in as surety for the above-

named now employee of ALL NEEDS LIMITED. I further undertake that I should
be held liable for any misappropriation of funds/damages or otherwise caused by
the employee during his/her tenure of office.

Signed: ……………………………………… this……………day of: ………….………………………., 20…….

(Signature)

ALL NEEDS LIMITED

INTERVIEW RANKING CHART

GRADING PARAMETERS: 10 8 5 0
 GRADING FACTORS

POINTS
1 QUALIFICATIONS
2 KNOWLEDGE & EXPERIENCE
3 COMPUTER LITERACY
4 PERSONAL COMMITMENT/VISION/GOALS
5 ACCOMMODATION
6 FUTURE DEVELOPMENT & ASPIRATION
7 EXPECTATION EG SALARY, OTHER BENEFITS
8 OTHERS
9
10

POINTS

1
2
3
4
5
6
7
8
9
10

POINTS

1
2
3
4
5
6
7
8
9
10

ALL NEEDS LIMITED

INTERVIEW RANKING CHART

GRADING PARAMETERS: 10 9 8 7 6 5 4 3 2 1
GRADING FACTORS

POINTS
1 QUALIFICATIONS
2 KNOWLEDGE & EXPERIENCE ON JOB
3 COMPUTER LITERACY
4 PERSONAL COMMITMENT/VISION/GOALS
5 ACCOMMODATION
6 FUTURE DEVELOPMENT & ASPIRATION
7 EXPECTATION EG SALARY, OTHER BENEFITS
8 APPEARANCE
9 FLUENCY IN ENGLISH
10 SELF CONFIDENCE
11 GENERAL KNOWLEDGE
12 OTHERS
13
14
15

POINTS ADJETEY GODFRED GARNET ROBERT VICTORIA

BISMARK BUAH KAINYAH HARRY NYAME
NYANNEY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTALS

REMARKS

ALL NEEDS LIMITED

P.O. Box 1340, Takoradi, Tel: 03120-22816, 25228 (Young Christian Junction),
03120-23653 (Traffic Light, Adra), Fax: 20915

APPLICATION FORM
This Form should be completed carefully and returned as directed
POST APPLIED FOR; ……………………………………………………………………………
PART I :PERSONAL PARTICULARS

1. Surname of Applicant (Dr./ Mr./ Mrs./ Miss)…………………………………………………….

(BLOCK LETTERS)
Other Names ……………………………………………………………………………….....................

2. Sex ……………………… Age ………………………… Date of Birth …………………..................

3. Place of Birth ……………...... Nationality ……………………

4. Present Address …………………………………………………………………..…………….........

5. E-mail Address ………………………………………………………………………..…..

Tel. Nos ……………………………………………………………………………………

6. Permanent Address ……………………………………………………………………………………

7. Marital Status ………………………………………………………………………………………..

8. Number and Ages of Children: Sons …………………………………………..

Daughters ……………….....................

9. Are you bonded to serve any government or other employers?

Yes/No ……………………… If YES give details:

………………………………………………………………………………………………………………

……………………………………………………………………………………………………………

PART II: DETAILS OF EDUCATION

9(a) Primary (State names of Institution) From To

.………………………………………………………………………………………….. ……………………….. ……………………………

.…………………………………………………………………………………………… ………………………. ………………………………

……………………………………………………………………………………………. ……................... ……………………………..

9(b) Secondary (State names of Institutions) From To

.………………………………………………………………………………………….. ……………………….. ……………………………

.…………………………………………………………………………………………… ………………………. ………………………………

……………………………………………………………………………………………. ……................... ……………………………..

9(c) Certificates Obtained (State clearly the subjects offered, the grade obtained and

the overall grading where Applicable)

….………………………………………………………………………………………………………………………………………………………….

..……………………………………………………………………………………………………………………….

……………………………………………………………..

………………………………………………………………………………………………………………………………………

10 (a) University (State names of Institutions) From To

.………………………………………………………………………………………….. ……………………….. ……………………………

.…………………………………………………………………………………………… ………………………. ………………………………

……………………………………………………………………………………………. ……................... ……………………………..

(b) Degree obtained (State clearly the subject area, class, Distinction or other

Honours and the date each degree was awarded)

…………………………………………………………………………………………………………….

……………………………………………………………………………………………………………….

……………………………………………………………………………………………………………….

11(a) Other Institutions (State names of the Institutions) From To

.………………………………………………………………………………………….. ……………………….. ……………………………

.…………………………………………………………………………………………… ………………………. ………………………………

……………………………………………………………………………………………. ……................... ……………………………..

(b) Certifications, Diploma or Advance Degrees obtained (In each case state the level

or class of certificate, Diploma or subject area in the case of advanced degree and the

date each was awarded)

…………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………………

PART III DETAILS OF EMPLOYMENT

13. List hereunder, beginning from your current employment, ALL jobs you have worked at, stating
dates, positions held, salaries and reasons for leaving where applicable
NAME AND ADDRESS DATES POST HELD SALARY REASONS FOR LEAVING

OF ORGANISATION GH¢

14. Do you object to any contact being made with your present employers? YES/NO ……

If YES state reason(s) ………………………………………………………………………………..………………….

…………………………………………………………………………………..…………………………………………………………..

PART IV: REFERENCES

15. Give the names, address and occupations of THREE personal referees (not relations)

to whom you are well-known. They must include at least a former EMPLOYER or YOUR

PASTOR.

(1) Name ……………………………………………………………………………………………………

Address …………………………………………………………………………………………….……….

………………………………………………………………………………………………………

………………………………………………………………………………………………………

Occupation ………………………………………………………………………………………………

(2) Name …………………………………………………………………………………………………….

Address ……………………………………………………………………………………………………...

……………………………………………………………………………………………………….

…………………………………………………………………………………………………….…

Occupation ………………………………………………………………………………………………

(3) Name ……………………………………………………………………………………………………

Address ……………………………………………………………………………………………………..

…………………………………………………………………………………………………………….

……………………………………………………………………………………………………………

Occupation ……………………………………………………………………………………………….

Note: The consent of the persons named as referees should be obtained by the

applicant, and each referee should be requested to forward his/her reference to the

Manager (HRM), ALL NEEDS LTD .P. O. BOX TD 1340, TAKORADI

16. State in the space provided, in about 300 words, why you want to join ALL NEEDS

LTD
Date ……………………Signature of Applicant ………………………………………………....

ALL NEEDS LIMITED

HOSPITAL FORM

TEL:03120- 23653, 25228, 22816 Post Office Box TD 1340

FAX: 03120-20915/25197 TAKORADI

Date:………………………………………
Dear Sir/Madam,
HOSPITAL FORM

The bearer, Mr/Mrs/Miss:………………………………………………………………………… is a staff of our

Company. We would be grateful if you could examine and treat him/her on our behalf.

Kindly sign and return the portion below for our records.

Yours faithfully,

……………………………………………………….
--------------------------------------------------------
EXCUSE-DUTY FORM

Patient:…………………………………………………………………………………fit/unfit for duty

For:…………………………….days/weeks from:…………………………………..to……….………….

Doctor:……………………………………………..
Sign/Stamp:

ALL NEEDS LIMITED

APPLICATION FOR CASUAL LEAVE

Name of Applicant…………………………………………………………………Date……………………

Grade…………………………………………………………..Station…………………………………………

Number of Days Requested for:…………………………………………………………………………

 Number of Leave Days Already Enjoyed:………………………………………………………………

Reasons for Leave………………………………………………………………………………………………

………………………………………………………………………………………………

Total number of days approved:…………………………………………………………………………

Reliever while on leave [if any]:…………………………………………………………………………

Remarks by Head of Department:………………………………………………………………………

……………………………………………………………………………

…………………………………………………………………………….

Applicant Signature:……………………………………..Head of Department:……………………..

APPROVING AUTHORITY

Leave Approved/Not Approved

APPROVED BY:………………………………………………… DATE:…………………………

ALL NEEDS LIMITED

LEAVE ROSTER

STATION: TAKORADI

DEPARTMENT: SUPERMARKET ONE

YEAR: 2 0 0 1

ENTITLEMEN
N A M E T
DURATION OF RESUMPTION OF
DATE
RELIEF
DUTY
NO. OF DAYS LEAVE TAKEN NAME
STAFF LAST
COMM. COMP. DATE DAY YEAR
NO. DATE DATE

XX ALBERTA OSEI 21 1/2/2001 24/2/2001 26/2/2001 MON TO BE

ARRANGED

X MERCY OFORI 21 5/2/2001 28/2/2001 1/3/2001 THURS ADELAIDE

AGYAPONG

JAMES AMOFA 21 5/3/2001 28/3/2001 29/3/2001 THURS TO ARRANGED

X MARGARET TENU 21 5/3/2001 29/3/2001 30/3/2001 FRI TO BE

ARRANGED

JOSEPH K. MONNIE 21 5/3/2001 29/3/2001 29/3/2001 THURS FELIX

TIEREKUUH

ANDREWS ACQUAH 21 8/3/2001 31/3/2001 2/4/2001 MON TO BE

ARRANGED

XX PAUL OCRAN 21 8/3/2001 31/3/2001 2/4/2001 MON TO BE

ARRANGED

XX ANTOINETTE BINEY 21 2/4/2001 25/4/2001 26/4/2001 THURS TO BE

ARRANGED

LAWAAL S. AWALU 21 2/4/2001 25/4/2001 26/4/2001 THURS TO BE

ARRANGED

YAW MAMPRUSI 21 2/4/2001 25/4/2001 26/4/2001 THURS TO BE

ARRANGED

ANGELINA EFFAH 21 2/4/2001 25/4/2001 26/4/2001 THURS TO BE

ARRNGED

JOSEPH SEMAPLEY 21 2/4/2001 25/4/2001 26/4/2001 THURS SAMUEL

OKYERE

X CYNTHIA ENNIN 21 4/4/2001 28/4/2001 30/4/2001 MON JOSEPH

MONNIE

X CECILIA ASHUN 21 16/4/2001 9/5/2001 10/5/2001 THURS FELIX

TIEREKUUH

XX PATIENCE 21 16/4/2001 9/5/2001 10/5/2001 THURS TO BE

PUNAMANI ARRANGED

ALL NEEDS LIMITED

LEAVE ROSTER

STATION: TAKORADI

DEPARTMENT: SUPERMARKET ONE

YEAR: 2 0 0 1

ENTITLEMEN
N A M E T
DURATION OF RESUMPTION OF
DATE
RELIEF
DUTY
NO. OF DAYS LEAVE TAKEN NAME
STAFF LAST
COMM. COMP. DATE DAY YEAR
NO. DATE DATE

ANASTASIA 21 4/6/2001 27/6/2001 28/6/2001 THURS TO BE

NTARMAH ARRANGED

EDWARD AFFUL 21 2/8/2001 25/8/2001 27/8/2001 MON TO BE

ARRANGED

X DINAH AKO- 21 9/8/2001 1/9/2001 3/9/2001 MON TO BE

MENSAH ARRANGED

XX ANTHONY 21 10/8/2001 3/9/2001 4/9/2001 TUES TO BE

ARHINFUL ARRANGED

X KING SOLOMON 21 2/9/2001 26/9/2001 27/9/2001 THURS TO BE

ASAMOAH ARRANGED

FELIX TIEREKUUH 21

DANIEL OPARE- 21
DJAN