"Application Form for Employment" - South Africa

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Download "Application Form for Employment" - South Africa

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Application for Employment
WHAT IS THE PURPOSE OF THIS
A. THE ADVERTISED POST
FORM
Position for which you are applying
Department where the position was
To assist a government department
(as advertised)
advertised
in selecting a person for an
advertised post.
This form may be used to identify
Reference number (as stated in the
If you are offered the position,
candidates to be interviewed.
advert)
when can you start OR how much
Since all applicants cannot be
notice must you serve with your
interviewed, you need to fill in this
current employer?
form completely, accurately and
legibly. This will help to process
your application fairly.
WHO SHOULD COMPLETE THIS
FORM
B. PERSONAL INFORMATION
Only persons wishing to apply for
an advertised position in a
government department.
Surname
ADDITIONAL INFORMATION
First Names
This form requires basic
information. Candidates who are
Date of Birth
selected for interviews will be
requested to furnish additional
2
ID number
certified information that may be
required to make a final selection.
3
Race
African
White
Coloured
Indian
SPECIAL NOTES
3
Gender
FEMALE
MALE
1 – All information will be treated
with the strictest confidentiality
and will not be disclosed or used
3
Do you have a disability?
YES
NO
for any other purpose than to
assess the suitability of a person,
Are you a South African Citizen?
YES
NO
except in so far as it may be
required and permitted by law.
If no, what is your
Your personal details must
Nationality
correspond with the details in your
ID or passport.
And do you have a valid work
YES
NO
Permit?
2 – Passport number in the case of
Have you ever been convicted of a
non-South Africans.
YES
NO
criminal offence or been dismissed
4
3 – This information is required to
form employment?
enable the department to comply
If your profession or occupation
with the Employment Equity Act,
requires State or official
1998.
registration, provide date and
4 – This information will only be
particulars of registration.
taken into account if it directly
relates to the requirements of the
position.
C. HOW DO WE CONTACT YOU
5 – Applicants with substantial
qualifications or work experience
must attach a CV.
Preferred language for correspondence?
Telephone number during office hours
(
)
Preferred method for
Post
E-mail
Fax
correspondence
Correspondence contact
details (in terms of above)
Application for Employment
WHAT IS THE PURPOSE OF THIS
A. THE ADVERTISED POST
FORM
Position for which you are applying
Department where the position was
To assist a government department
(as advertised)
advertised
in selecting a person for an
advertised post.
This form may be used to identify
Reference number (as stated in the
If you are offered the position,
candidates to be interviewed.
advert)
when can you start OR how much
Since all applicants cannot be
notice must you serve with your
interviewed, you need to fill in this
current employer?
form completely, accurately and
legibly. This will help to process
your application fairly.
WHO SHOULD COMPLETE THIS
FORM
B. PERSONAL INFORMATION
Only persons wishing to apply for
an advertised position in a
government department.
Surname
ADDITIONAL INFORMATION
First Names
This form requires basic
information. Candidates who are
Date of Birth
selected for interviews will be
requested to furnish additional
2
ID number
certified information that may be
required to make a final selection.
3
Race
African
White
Coloured
Indian
SPECIAL NOTES
3
Gender
FEMALE
MALE
1 – All information will be treated
with the strictest confidentiality
and will not be disclosed or used
3
Do you have a disability?
YES
NO
for any other purpose than to
assess the suitability of a person,
Are you a South African Citizen?
YES
NO
except in so far as it may be
required and permitted by law.
If no, what is your
Your personal details must
Nationality
correspond with the details in your
ID or passport.
And do you have a valid work
YES
NO
Permit?
2 – Passport number in the case of
Have you ever been convicted of a
non-South Africans.
YES
NO
criminal offence or been dismissed
4
3 – This information is required to
form employment?
enable the department to comply
If your profession or occupation
with the Employment Equity Act,
requires State or official
1998.
registration, provide date and
4 – This information will only be
particulars of registration.
taken into account if it directly
relates to the requirements of the
position.
C. HOW DO WE CONTACT YOU
5 – Applicants with substantial
qualifications or work experience
must attach a CV.
Preferred language for correspondence?
Telephone number during office hours
(
)
Preferred method for
Post
E-mail
Fax
correspondence
Correspondence contact
details (in terms of above)
D. LANGUAGE PROFICIENCY – state ‘good’, ‘fair’ or ‘poor’
Languages (specified)
Speak
Read
Write
5
E. QUALIFICATIONS
(please ignore if you have attached a CV with these details
Name of School / Technical College
Highest qualification obtained
Year
Obtained
Tertiary education (complete for each qualification you obtained)
Year
Name of Institution
Name of Qualification
Obtained
Current study (institution and qualification)
5
F. WORK EXPERIENCE
(please ignore if you have attached a CV with these details)
Employer (including
From
To
Reason for
Post held
current employer)
Leaving
MM
YY
MM
YY
If you were previously employed in the Public Service, indicate whether
YES
NO
any condition exists that prevents your re-employment
If yes, provide the name of the previous employing
department
G. REFERENCES (please ignore if you have attached a CV with these details)
Name
Relationship to you
Tel. No. (office hours)
DECLARATION
I declare that all the information provided (including any attachments) is complete and
correct to the best of my knowledge. I understand that any false information supplied
could lead to my application being disqualified or my discharge if I am appointed.
Signature:
Date:
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