Form

City of Joburg application for employment

Position you are applying for*

First name (as per identity document)*

Last name (as per identity document)*

Email*

Mobile phone number

Are you a South African Citizen?*

Yes

Are you a Foreign National?*

Yes

If you selected "yes" above (Are you a foreign national), Please state a date of neutrlization

Year/Month/Day

Work Permit Number:

Identity number *

Are you an internal applicant?*

Yes

If you are an internal applicant, please provide your employee no

Highest Qualification*

If you have selected "other" (Highest qualification/s), provide your highest qualification here

Field of Study/s*

If you have selected "other" (Field of Study/s), provide your field of study here

Home address*

Gender*

Male

Female

Race*

Date of birth*

Please ensure your date of birth follows date, year and month pattern

Disability*

Yes

Disciplinary Record

Have you been dismissed for misconduct during the past ten (10) years?*

Yes

If yes, Name of Municipality/ Organisation

Type of a Misconduct/ Transgression

Date of Resignation/ Disciplinary case finalised

Day/Month/Year

Award/ sanction

Have you been accused of an alleged misconduct during the past ten (10) years and have resigned from your job pending finalisation of the disciplinary proceedings?

Yes

Do you have a criminal record?*

Yes

If yes, type of criminal act

Date criminal case finalised

Day/Month/Year

Outcome/ Judgment

Have you been accused of an alleged misconduct during the past ten (10) years and have resigned from your job pending finalisation of the disciplinary proceedings?

Yes

Do you hold a professional membership with any professional body? If yes, provide information below

Yes

Professional Body:

Membership Number:

Expiry date:

How many years of working experience do you have, relevant to the vacancy?*

Years of experience as a manager

Applicable only to management positions. Please skip if not applicable.

Last position/s held

Current employer

Brief description of your profile

Brief description of your work experience, relating to the vacancy.

Reason for Leaving.

Attach CV/Portfolio*

Attach certified copy of ID*

Attach certified copy of qualification/s*

DECLARATION

By ticking this box you are hereby declaring 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.