City Power Application Form For Employment
City Power Application Form For Employment
City Power Application Form For Employment
June 2022
APPLICATION FORM FOR EMPLOYMENT
The purpose of this form is to assist City Power in selecting suitable candidates for
an advertised post.
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.
Candidates shortlisted for interviews may be requested to furnish additional
information that will assist City Power to expedite recruitment and selection
processes.
All information received will be treated with strict confidentiality and will not be
used for any other purpose than to assess the suitability of the applicant.
This form is designed to assist City Power with the recruitment, selection
and appointment of senior managers in terms of the Local Government: Municipal
Systems Act, 2000 (Act No. 32 of 2000).
A. DETAILS OF THE ADVERTISED POST (as reflected in the advert)
Reference number
B. PERSONAL DETAILS
Surname
First Names
ID Number/SAP No.
If yes, elaborate
C. CONTACT DETAILS
Email address
Telephone Number
2
Mobile Number
Physical Address
3
(starting with MM YY MM YY Years / Specific reason for
most recent) Months
leaving (this could
(Duration)
include resignation,
dismal,
retrenchment,
retirement or other.
If other, please
specify
Do you hold a professional membership with any professional body? If yes, provide information
below:
Professional Body Membership Number Expiry date
G. DISCIPLINARY RECORD
4
Have you been dismissed for misconduct Yes No
Type of Misconduct/Transgression
Did you resign from your job pending finalization of the Yes No
disciplinary proceedings? This includes notified
investigations, suspensions, charges disciplinary hearing or
other. If yes, provide specific details on a separate sheet.
H. CRIMINAL RECORD
Outcome/Judgement
I. REFERENCE
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: