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What Is The Purpose of This Form

This document is an application form for the position of Administration Clerk in the Water and Sanitation department. The applicant, Kgonthe Mokoni, is applying for reference number 271120/40 and can start immediately if offered the position. Personal details including name, date of birth, contact information and language proficiency are provided. The applicant's qualifications and work experience are detailed in an attached CV. References are also included in the CV. The applicant declares the information is complete and correct.

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0% found this document useful (0 votes)
84 views2 pages

What Is The Purpose of This Form

This document is an application form for the position of Administration Clerk in the Water and Sanitation department. The applicant, Kgonthe Mokoni, is applying for reference number 271120/40 and can start immediately if offered the position. Personal details including name, date of birth, contact information and language proficiency are provided. The applicant's qualifications and work experience are detailed in an attached CV. References are also included in the CV. The applicant declares the information is complete and correct.

Uploaded by

victor
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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A.

THE ADVERTISED POST


Position for which you are Department where the position
applying (as advertised) was advertised
ADMINISTRATION CLERK
WHAT IS THE PURPOSE OF
WATER AND SANITATION
THIS FORM
Reference number (as stated in If you are offered the position,
To assist a government depart- the advert) when can you start OR how much
ment in selecting a person for notice must you serve with your
an advertised post. 271120/40 current employer?

This form may be used to iden- EMMIDIATELY


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 MOKONI

Only persons wishing to apply First names KGONTHE


for an advertised position in a Date of birth 09 SEPTEMBER 1997
government department.
Identity number2 9709090815082
ADDITIONAL INFORMATION
Race3 African White Colored Indian
This form requires basic infor- Gender3 Female Male
mation. Candidates who are
selected for interviews will be Do you have a disability?3 Yes No
requested to furnish additional
certified information that may be Are you a South African citizen? Yes No
required to make a final If no, what is your nationality?
selection.
And do you have a valid work permit? Yes No
SPECIAL NOTES Have you been convicted of a criminal Yes No
1 – All information will be treated
offence or been dismissed from employ-
with the strictest confidentiality ment?4
and will not be disclosed or used If your profession or occupation requires
for any other purpose than to State or official registration, provide date and
asses the suitability of a person, particulars of registration
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. C. HOW DO WE CONTACT YOU

2 – Passport number in the case Preferred language for correspondence? ENGLISH


of non-South Africans.
Telephone number during office hours 0833716444
3 – This information is required
to enable the department to Preferred method for
comply with the Employment Post E-mail Fax
correspondence
Equity Act, 1998.

4 – This information will only be


taken into account if it directly
relates to the requirements of Correspondence
[email protected]
the position. contact details (in
terms of above)
5 – Applicants with substantial
qualifications or work experience
must attach a CV.
D. LANGUAGE PROFICIENCY – state ‘good’, ‘fair’, or ‘poor’
Languages (specify)
ENGLISH SEPEDI TSHIVENDA TSONGA
Speak GOOD GOOD GOOD GOOD
Read GOOD FAIR FAIR FAIR
Write GOOD FAIR FAIR FAIR

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
CV ATTACHED

Current study (institution and qualification):

F. WORK EXPERIENCE5 (please ignore if you have attached a CV with these details)
Employer (including Post held From To Reason for leaving
current employer)
MM YY MM YY

CV ATTACHED

If you were previously employed in the Public Service, indicate whether any
Yes No
condition exists that prevents your re-appointment
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)

CV ATTACHED

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:16 NOVEMBER 2020

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