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Regional Manager Research Monitoring Reporting

Are you or have you ever been an employee of MSS? If yes – please also write your designation here.

Do you have family members/relatives working within MSS? If yes – please provide details and the nature of the relationship.

Have you or any of your immediate family has ever been
affiliated with any political party? If yes please provide
details.

Have you ever been convicted of a felony, or a misdemeanor which resulted in imprisonment? If yes, please provide details.

Have you ever been dismissed, or asked to resign from any position? If yes, please explain the situation.

Do you have any medical condition which could affect your performance/job in any respect? If yes, please specify:

Are you undergoing any long term treatment or following medication plan? If yes, please provide details. In which media did you see this vacancy advertised?

If referred by ( Name of MSS Team Member):