Application For A Temporary Contract: 1. Personal Particulars
Application For A Temporary Contract: 1. Personal Particulars
CONFIDENTIAL
PO Box 392
UNISA
0003
South Africa
1. PERSONAL PARTICULARS
Surname
Full names
Identity number Unisa student no
Race (Mark with x) African Coloured Indian White Gender M F
Are you a South African citizen? Yes No
If you are not a citizen by birth, please indicate the date you acquired your citizenship
Permanent residence status Yes
If you have permanent residence status, please indicate the date you acquired permanent residence
If you are a foreigner please provide the following (Certified copies of documents must be attached)
Passport no Country of issue Expiry date
Work visa no Type of visa Expiry date
Are you a person with a disability? Yes
If yes, please provide further details
Code Code
Telephone no Home Work Fax
Cell e-mail
5. SCHOOL EDUCATION
Highest standard/grade passed Month Year Institution
8. LANGUAGE PROFICIENCY
Indicate language and level of proficiency, i.e. ability to speak, read, write, poor (P), average (A), very good (VG):
Language Speak Read Write
9. OTHER SKILLS
Please give details of any other skills that you may have (e.g. computer skills)
10. Applicants are required to indicate to what extent their qualifications and experience meet the
requirements of the post. Please structure your response according to the requirements as set out
in the advertisement:
11. ADDITIONAL INFORMATION
Furnish any additional information which you regard as relevant in support of your application
Have you ever been found guilty of misconduct at a previous employer? Yes
I, ………………………………………………. hereby declare that the information I have provided on this form is
correct and give consent that references maybe contacted and credentials verified.
Date: Signature: