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Thulamela Employment Application Form

Thulamela employment

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motaunglesedyv
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45 views2 pages

Thulamela Employment Application Form

Thulamela employment

Uploaded by

motaunglesedyv
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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THULAMELA LOCAL MUNICIPALITY

APPLICATION FOR EMPLOYEMNT FORM


REFERENCE AND SECURITY CHECK WILL BE DONE ON APPLICANT BEFORE APPOINTMENT
1. The purpose of 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 substantial 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 requested to furnish additional information that will assist
municipalities to expedite recruitment and selection processes.
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. 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).

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


Advertised post
applying for
Reference number
Name of the
Municipality
Notice service period
PERSONAL DETAILS
Surname
First Names
ID or Passport
Number
Gender Male Female
Race African White Coloured Indian
Do you have a Yes No If yes, elaborate
disability?
Are you a South Yes No If not, what is your nationality
African Citizen? Do you have a valid work Permit Yes No
Do you hold a Name of professional body Membership Number Expiry date
professional
membership with any
professional body?
B. CONTACT DETAILS
Telephone number during office hours ( )
Mobile phone number
Postal Address
Code:
Email address
Preferred language of communication
C. QUALIFICATIONS (please elaborate on your CV)
Highest educational qualification obtained

Name of school Highest Grade Year Obtained

Highest tertiary qualification obtained

Name of Institution Name of a qualification NQF level Year Obtained

D. WORK EXPERIENCE (please elaborate on your CV)


Employer (starting Post Held From To Reason for leaving
with the most
recent) Month Year Month Year

E. DISCIPLINARY RECORD
Have you been dismissed from misconduct Yes No
during the past ten (10) years?
If yes, Name of Municipality/Employer
Type of Misconduct/Transgression
Date of Resignation/Disciplinary case
finalised/Dismissal
Award/sanction
Have you been accused of an alleged Yes No
misconduct and resign from your job pending
finalisation of the disciplinary proceedings
H. CRIMINAL RECORD
Have you been convicted of any criminal offence in a court of law Yes No
during the past ten (10) years?
If yes, type of criminal act
Date criminal case finalised
Outcome/Judgement
I. REFERENCES (please elaborate on your CV)
Name of Relationship Tel (Office hours) Cellphone Number Email
Referee

J. 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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