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    Application Form For Employment

    Uploaded by

    mr.danialspl11

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form For Employment

    Uploaded by

    mr.danialspl11
    7 views3 pages

    Original Title

    Application Form for Employment

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    7 views3 pages

    Application Form For Employment

    Uploaded by

    mr.danialspl11

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    ANNEXURE C

    APPLICATION FOR EMPLOYMENT

    TERMS AND CONDITIONS


    1. The purposeof this form is to assist a municipality in selecting suitable candidates for an advertised post.
    2. This form must be completed in full, accurately and legibly. All subsatial information relevant to a candidate must be provided in
    this form. Any additional information may be provided on the CV.
    3. Candidates shortlisted for interviews may be reqsted to furnishaddiional information that will assist municipalities to expedite
    recruitment and selection processess.
    4. All information received will be treated with strictly confidentiality and will not be used for any other purpose than to assess the
    suitability of the applicant.
    5. Thi form is designed to assist municipality with the recruitment, selection and appointmet of senior managers in terms of the
    Local Government: Municipal Systems Act, 2000 (Act No.32 of 2000) and non senior managers in terms of the Victor Khanye Local
    Municipality’s Employment Practice Policy.

    A. DETAILS OF THE ADVERTISED POST (as reflected in the advert)


    Advertised post applying
    for

    Reference number

    Name of Municipality

    Notice service period

    B. PERSONAL DETAILS

    Surname
    First names
    Date of birth
    Identity number
    Race African White Coloured Indian
    Gender Female Male
    Do you have a disability? Yes No
    If yes, elaborate
    Are you a South African citizen? Yes No
    If no, what is your
    nationality?
    Work Permit Number (if
    any):
    Do you hold any political office in a political party, whether in a permanent,
    No
    temporary or acting capacity? If yes, provide information below.
    Political Party: Position: Expiry date:
    Do you hold a professional membership with any professional body? If yes provide No
    information below
    Professional Body: Membership Number: Expiry date:

    C. HOW DO WE CONTACT YOU


    Preferred language for
    correspondence?
    Telephone number during office
    hours
    Preferred method for
    Post E-mail Fax
    correspondence (Mark with an X)
    C o r r e s p o n d e n c e contact
    details (in terms of above)
    D. QUALIFICATIONS (Additional information may be provided on your CV)
    Name of School/Technical Highest qualification obtained Year obtained
    College

    Name of institution Name of qualification NQF Level Year obtained

    E. WORK EXPERIENCE (Additional information may be provided on your CV)


    Employer (starting with Position From To Reason for
    the most recent) leaving
    MM YY MM YY

    If you were previously employed in the Local Government, indicate whether any
    Yes No
    condition exists that prevents your re-appointment
    If yes, Provide the name of
    the previous employing
    department

    F. DISCIPLINARY RECORD
    Have you been dismissed for misconduct on or after 5 July 2011? Yes No
    If yes, Name of Municipality/ Institution
    Type of a misconduct/ Transgression
    Date of Resignation/ Disciplinary case finalised
    Award/ sanction
    Did you resign from your job on or before 5 July 2011 pending Yes No
    finalisation of the disciplinary proceedings? If yes provide details on
    a separate sheet.

    G. CRIMINAL RECORD
    Were you convicted of a criminal offence involving financial Yes No
    misconduct, fraud or corruption on or after 5 July 2011? If yes, provide
    details on a separate sheet.
    If yes, type of criminal act
    Date crimal case finalised
    Outcome/ Judgement

    H. REFERENCES
    Name of Referee Relationship Tel. No. (office hours) Cellphone Number Email

    I. DECLARATION
    I declare that all the information provided in this application and including any attachments in support thereof is to the best of
    my knowledge true and correct. I understand that any misrepresentation or failure to disclose any information may lead to my
    disqualified or termination of my employment contrat, if I am appointed.
    Signature: Date:

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