FOTEK Z83 Government Employment Application Form PDF Download (EN)

Z 83 (81/971431) R EPUBLIC OF S OUTH A FRICA 8 APPLICATION FOR EMPLOYMENT G.P.-S. A. THE ADVERTISED POST ➧ Position for which you are Department where the position applying (as advertised) was advertised WHAT IS THE PURPOSE OF THIS FORM To assist a government depart- ment in selecting a person for Reference number (as stated in If you are offered the position, the advert) when can you start OR how an advertised post. much notice must you serve with your current employer? This form may be used to iden- tify candidates to be inter- viewed. Since all applicants cannot be interviewed, you need to fill in this form com- pletely, accurately and legibly.

This will help to process your application fairly. B. PERSONAL INFORMATION (please ignore if you have attached a CV with ALL of the following information)1 WHO SHOULD COMPLETE THIS FORM Surname Only persons wishing to apply for an advertised position in a First names government department. Date of birth ADDITIONAL INFORMATION Identity number2 This form requires basic infor- mation. Candidates who are Race3 African White Coloured Indian selected for interviews will be requested to furnish additional Gender3 Female Male certified information that may be required to make a final Do you have a disability?3 Yes No selection. Are you a South African citizen?

Yes No SPECIAL NOTES If no, what is your nationality? 1 – All information will be treated with the strictest confi- And do you have a valid work permit? Yes No dentiality and will not be dis- closed or used for any other Have you been convicted of a criminal Yes No purpose than to assess the offence or been dismissed from employ- suitability of a person, except in ment?4 so far as it may be required and permitted by law. Your personal If your profession or occupation requires details must correspond with State or official registration, provide date the details in your ID or and particulars of registration passport. 2 – Passport number in the case of non-South Africans.

3 – This information is required C. HOW DO WE CONTACT YOU to enable the department to Preferred language for correspondence? comply with the Employment Equity Act, 1998. Telephone number during office hours ( ) 4 – This information will only be taken into account if it directly Preferred method for Post E-mail Fax relates to the requirements of correspondence the position. Correspondence 5 – Applicants with substantial contact details (in qualifications or work experi- terms of above) ence must attach a CV. ➧ WHAT IS THE PURPOSE OF THIS FORM To assist a government depart- ment in selecting a person for an advertised post. This form may be used to iden- tify candidates to be inter- viewed.

Since all applicants cannot be interviewed, you need to fill in this form com- pletely, accurately and legibly. This will help to process your application fairly. WHO SHOULD COMPLETE THIS FORM Only persons wishing to apply for an advertised position in a government department. ADDITIONAL INFORMATION This form requires basic infor- mation. Candidates who are selected for interviews will be requested to furnish additional certified information that may be required to make a final selection.

SPECIAL NOTES 1 – All information will be treated with the strictest confi- dentiality and will not be dis- closed or used for any other purpose than to assess the suitability of a person, except in so far as it may be required and permitted by law. Your personal details must correspond with the details in your ID or passport. 2 – Passport number in the case of non-South Africans. 3 – This information is required to enable the department to comply with the Employment Equity Act, 1998. 4 – This information will only be taken into account if it directly relates to the requirements of the position. 5 – Applicants with substantial qualifications or work experi- ence must attach a CV. C.

HOW DO WE CONTACT YOU Preferred language for correspondence? Telephone number during office hours ( ) Preferred method for correspondence Post E-mail Fax Correspondence contact details (in terms of above) A. THE ADVERTISED POST Position for which you are applying (as advertised) Department where the position was advertised Reference number (as stated in the advert) If you are offered the position, when can you start OR how much notice must you serve with your current employer? B.

PERSONAL INFORMATION (please ignore if you have attached a CV with ALL of the following information)1 Surname First names Date of birth Identity number2 Race3 African White Coloured Indian Gender3 Female Male Do you have a disability?3 Yes No Are you a South African citizen? Yes No If no, what is your nationality? And do you have a valid work permit? Yes No Have you been convicted of a criminal offence or been dismissed from employ- ment?4 Yes No If your profession or occupation requires State or official registration, provide date and particulars of registration

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D. LANGUAGE PROFICIENCY—state ‘good’, ‘fair’, or ‘poor’ Languages (specify) Speak Read Write E. QUALIFICATIONS5 (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) Name of institution Name of qualification Year obtained Current study (institution and qualification): F.

WORK EXPERIENCE5 (please ignore if you have attached a CV with these details) Employer (including current employer) Post held From To Reason for leaving MM YY MM YY If you were previously employed in the Public Service, indicate whether any condi- tion exists that prevents your re-appointment. Yes No 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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