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    MHLM Application For Employment Form

    Uploaded by

    blackmavioso

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MHLM Application For Employment Form

    Uploaded by

    blackmavioso
    7 views2 pages

    Original Title

    MHLM Application for Employment Form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views2 pages

    MHLM Application For Employment Form

    Uploaded by

    blackmavioso

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FORM FOR EMPLOYMENT

    1. The purpose of this form is to assist a municipality in selecting a suitable candidate 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)
    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 Yes No Name of professional body Membership Expiry date
    professional Number
    membership with any
    professional body

    CONTACT DETAILS

    Telephone number during office hours ( )

    Mobile phone number

    Postal address

    Code:

    Email Address

    Preferred language of communication


    QUALIFICATIONS (please elaborate on your CV)

    Highest educational qualification obtained

    Name of the School Highest Grade Year Obtained

    Highest tertiary qualification obtained

    Name of Institution Name of Qualification NQF Level Year Obtained

    WORK EXPERIENCE (please elaborate on your cv)

    Employer Position held From To Reason for leaving


    (starting with the
    most recent) Month Year Month Year

    DISCIPLINARY RECORD

    Have been dismissed for 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 resigned from your job
    pending finalisation of the disciplinary
    proceedings?

    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

    REFERENCES (please elaborate on your CV)


    Name of Referee Relationship Tel (office hours) Cellphone Number Email

    DECLARATION

    I hereby declare that all 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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