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Application Form 2024

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Masonwabe De Ngubo
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26 views3 pages

Application Form 2024

Uploaded by

Masonwabe De Ngubo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR

EMPLOYMENT

1. 1. The purpose of this form is to assist a municipality in selecting suitable candidates for an advertised post.
2. 2. This form must be completed in full, accurately and legibly. All substantial information relevant to a candidate
must be provided in this form. Any additional information may be provided on the CV.
3. 3. Candidates shortlisted for interviews may be requested to furnish additional information that will assist
municipalities to expedite recruitment and selection processes.
4. 4. All information received shall be treated with strict confidentiality and shall not be used for any other purpose
than to assess the suitability of the applicant.
5. 5. This form is designed to assist municipality with the recruitment, selection and appointment of staff members in
terms of the Municipal Systems Act, 2000 (Act No. 32 of 2000)

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

Advertised post applying for

Name of the Municipality

Notice service period

PERSONAL DETAILS
Internal Candidate Yes No Personnel No:

Surname

First Names

ID or Passport Number

Gender Male Female

Race African White Coloured Indian

Do you have a disability? Yes No If yes, elaborate


If not, what is your
nationality?
Are you a South African Citizen?
Yes No Do you have a valid
work Permit? Yes No
Membership
Do you hold a professional membership Name of professional Expiry date
Number
with any professional body? Yes No body

List all languages you are proficient in


(read, write, speak)

Do you have valid driver’s license? Yes No If yes, specify code(s)


CONTACT DETAILS

Telephone number during office hours ( )

Mobile phone number

Residential Address

Code:

Email Address
Preferred language of communication

QUALIFICATIONS (please elaborate on your CV)

Highest educational qualification obtained

Name of the School Highest Grade Year Obtained

Highest tertiary qualification obtained


Name of Institution Name of a qualification NQF level Year Obtained

WORK EXPERIENCE (please elaborate on your CV)

Employer (starting with From To


the most recent) Post held Reason for leaving
Month Year Month Year

DISCIPLINARY RECORD
Have you been dismissed for misconduct Yes No
during the past ten (10) years?
If yes, name of Municipality/ Employer
Type of a Misconduct / Transgression
Date of Resignation / Disciplinary case
Finalized / Dismissal

Award / sanction
Have you been accused of an alleged misconduct
and resigned from your job pending finalization of Yes No
the disciplinary proceedings?

CRIMINAL RECORD
Have you been convicted of any criminal record in a court of law
during the past 10 years? Yes No

If yes, type of criminal act

Date criminal case finalized

Outcome/ Judgment

REFERENCES (please elaborate on your CV)


Name of Referee Relationship Tel (office Cellphone Email
hours) Number

DECLARATION
I hereby declare that all the information provided in this application and 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 disqualification or termination of my employment contract, if appointed.
Signature: Date:

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