YOUR RESUMÉ

Please fill out this form and the Indemnity form, writing clearly.

Personal Information

Full names and Surname: Emile Noble

__________________________________ Mr Mrs Ms

SA ID Number:
9502155040088
_________________________________ 0611755004
Tel No. (Cell): __________________________

Tel No (Home): _________________________________ Tel No (Work): _________________________

13 Kasteel Cresent Tygerdal Goodwood

Residential address: _________________________________________________________________________

[email protected]
Confidential work email: __________________________________________________________________

4 weeks
Notice Period: _______________________ R45,000
Current Salary: _______________________

[email protected]
Private email: ____________________________________________________________________________

Valid Drivers License: Yes No Own Car: Yes No

Nathan
Alternate Contact Name: ________________________________________________________________
071 517 9875
Tel No: ________________________________________ Relationship: ___________________________
Brother

Do have a disability? Yes No

If yes, please advise on the nature of your disability: ________________________________________

Demographics

Gender: Female Male

Race: Black White Indian Coloured Chinese Other

South African
Nationality: ___________________________________ South African
Citizenship: ____________________________
Were you a SA Permanent/Citizen prior to April 1994? Yes No

Language Proficiency
Your mother tongue: Read Write Speak
Good Poor Good Poor Good Poor
English Yes Yes Yes
Other languages:
Afrikaans Yes Yes Yes

Reference Details
Referee Name: Position Tel No Company Relationship
1. Frans Weilbach Director +27 21 815 3204 PwC Director
2. Valma de Kock Manager +27 21 815 7163 PwC Manager
3. Lezahn Steenkamp GFM 072 538 6507 GFM
Alternative Prosperity
4.

www.talentcru.co.za

Copyright © 2020 Adcorp. All Rights Reserved

I confirm that the information furnished herein is correct and contains all relevant information. I further indemnify and hold harmless, talentCRU,DAV and
Kelly it’s employee consultants and agents and my previous employers against any action which may arise in the event that I should not obtain any
position for which I may apply. I authorise previous employers to furnish their records to talentCRU, DAV, Kelly and to furnish information regarding aspects
of my previous employment. I similarly indemnify and hold harmless my previous employers of any liability in respect of the above disclosure. I understand
that any deliberate misstatement or non-disclosure of relevant information may result in summary dismissal. I recognize that talentCRU, DAV and Kelly shall
take all measures to ensure data protection and POPI compliance. By providing talentCRU, DAV and Kelly with my details, I consent to the Adcorp Group
scoring and accessing my information for the purpose intended which is to find me the ideal career opportunity. The full terms and conditions are
accessible by visiting www.talentcru.co.za/terms-and-conditions.

PERSONAL CREDENTIAL DISCLOSURE FORM

Company Details: To be completed by Company Agent

Company name: _____________________________________ Email: _______________________________________

Agent name: _____________________________________ Mobile: _______________________________________

Candidate Personal Information To be completed by the Candidate

Have you ever been dismissed from a previous company? Yes No

Previous charges and / or convictions? Yes No

If yes, Please provide the conviction details:
Date convicted: __________________________________ Offence: ________________________________________
Sentence: __________________________________

Qualification Details To be completed by the Candidate

Honours in Accounting
Qualification Name: ___________________________ ITC
___________________________ APC
___________________________
SAICA SAICA
Institution Name University of Western
: ___________________________ ___________________________ ___________________________
Cape
2017 2020
Date obtained : ___________________________ 2018
___________________________ ___________________________

Student Number 3423884

: ___________________________
30696869
___________________________ 30696869
___________________________

Certificate Number: ___________________________ ___________________________ ___________________________

Exam Number : ___________________________ ___________________________ ___________________________

Signature

Copyright © 2020 Adcorp. All Rights Reserved 2

 ADCORP HOLDINGS LIMITED – DATA SUBJECT CONSENT FORM PROTECTION OF PERSONAL
INFORMATION ACT 4 OF 2013
(“POPIA”)

Consent to process information for employment and contracting in terms of Section 18 of

POPIA:

1. Storage, Retention and Destruction of Information:

Personal details are used to comply with legislation as well as ensure that, in terms of the operational needs of the
company, we have the information required to function both as an employer and as a business. Information given
will only be used for the purposes for which it is collected (specified hereunder), will be stored securely and, in
accordance with the Section 24.1.b. of the Companies Act, will be retained for a period of seven years after last
entry unless a longer period of retention is required by other public regulation. Information will be destroyed after
expiry of the legally required retention period or, where appropriate, retained for a longer period to continue with
the purpose of recruitment or re-recruitment.

2. Reason why the Information is required:

2.1 Voluntary – requested for operational functions of the company:

 Perform appropriate checks on job history, criminal record, educational / skills qualifications / registrations /
licenses and credit history where such is required and permitted by the National Credit Act;
 Refer candidates for employment or contracting with client companies;
 Direct marketing regarding products and special offers that might become available to candidates /
contractors / employees through the Adcorp Group. However, this particular purpose is a choice. The
candidate/employee may opt out from their information used for such a purpose;
 Ensure benefits are properly administrated (Healthcare, Retirement Funding etc.);
 Ensure a timeous and accurate payroll function (where applicable);
 Conduct social media background screening on the following platforms (permanent employment only).

2.2 Mandatory – required by legislation:

 Keep records in accordance with the Basic Conditions of Employment Act, where applicable.
 Report to government in terms of the Employment Equity Act, the Skills Development Act and the Employment
 Services Act, when promulgated etc.
 Pay over Skills Development Levies, where applicable.
 Pay over contributions in terms of the Unemployment Insurance Fund and the Compensation for
Occupational Injuries and Diseases Act, where applicable
 Pay over tax to the Receiver of Revenue

3. Right to Object:

In terms of S11(3) of the POPIA, every data subject has the right to object to the processing of his or her personal
information. In the event of such an objection a hold will be put on all such processing for that data subject and the
proper process will take place in order to resolve the cause of the objection. Any such requests are to be submitted
by email to the Information Officer @ [email protected].

4. Accuracy of Information and Onus:

The Protection of Personal Information Act requires that all personal details supplied must be complete, not
misleading, accurate and up to date. It must be properly maintained as well as protected. Whilst we, as a
company, take responsibility for processing and protection of the information it is your responsibility as a data
subject to ensure that the information is complete and accurate and that you advise us of any change of personal
details so that is can be accurately maintained.

Copyright © 2020 Adcorp. All Rights Reserved 3

5. Storage of information:

Information will be stored electronically in a centralized database, which, to widen the job seeking opportunities, will
be accessible to the subsidiary companies in the Adcorp Group. Where appropriate, some information may be
retained in hard copy. In either event, storage will be secure and audited regularly regarding the safety of the
information. Where data is stored electronically out of the borders of South Africa, such is done only in countries
which have similar privacy laws to our own or where such facilities are bound contractually to no lesser regulations
than those imposed by POPIA.

Candidates/Contractors:
Management, HR Practitioners, Payroll Department, Core Benefits Provider, Medical Aid/Cover provider, Data
Capturers, Account Managers, Auditors, Legal Practitioners, Government Departments (e.g. Department of Labour)
and, specifically where the candidate or contractor is being referred for a position, client companies will be given
sufficient information on which they can base their decision to employ/contract.

6. Complaints:

Complaints can be addressed to the Information Officer ([email protected]) or the Regulator

appointed in terms of POPIA.

7. Access to the Information by the Data Subject:

The subject of the personal information may request access to the information stored in order that they can assure
themselves that the data is accurate.

8. Data Subject Consent:

Emile Noble
I, _______________________________________, declare that all the information supplied is accurate, not misleading and
complete and that I will advise the company of any change. I hereby give permission for my personal information to
be collected, processed as stated above, stored securely and destroyed at the appropriate time. I acknowledge
that I have supplied the personal information required, that I understand the purposes for which it will be used and
am aware that it will be processed for these purposes and no other.

From time to time, the company may have certain products or special offers. The company may / may not [delete
that which is not applicable] use any of the information supplied for this purpose or any other marketing reason. I
understand that should I opt in at this stage, I can opt out at any point in the future.

0611755004 13/07/2023
Candidate Signature Mobile Number Date

Company Agent Signature Date

Copyright © 2020 Adcorp. All Rights Reserved 4