Application for Employment
A. THE ADVERTISED POST
Position for which you are applying
Department where the position was
Reference number (as stated in the
If you are offered the position,
when can you start OR how much
notice must you serve with your
B. PERSONAL INFORMATION
Date of Birth
African White Coloured Indian
Do you have a disability?
Are you a South African Citizen? YES NO
If no, what is your
And do you have a valid work
Have you ever been convicted of a
criminal offence or been dismissed
If your profession or occupation
requires State or official
registration, provide date and
particulars of registration.
C. HOW DO WE CONTACT YOU
Preferred language for correspondence?
Telephone number during office hours ( )
Preferred method for
Post E-mail Fax
WHAT IS THE PURPOSE OF THIS
To assist a government department
in selecting a person for an
This form may be used to identify
candidates to be interviewed.
Since all applicants cannot be
interviewed, you need to fill in this
form completely, accurately and
legibly. This will help to process
your application fairly.
WHO SHOULD COMPLETE THIS
Only persons wishing to apply for
an advertised position in a
This form requires basic
information. Candidates who are
selected for interviews will be
requested to furnish additional
certified information that may be
required to make a final selection.
1 – All information will be treated
with the strictest confidentiality
and will not be disclosed 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
3 – This information is required to
enable the department to comply
with the Employment Equity Act,
4 – This information will only be
taken into account if it directly
relates to the requirements of the
5 – Applicants with substantial
qualifications or work experience
must attach a CV.
details (in terms of above)