Capricorn District Municipality

Application for Employment

All sections of this form are compulsory.

Welcome to the Capricorn District Municipality vacancy application

The purpose of this form is to assist a government department in selecting a person for an advertised post.

This form may be used to identify candidates to be interviewed. You need to fill in all sections of this form completely, accurately and legibly. This will help to process your application fairly.

Use the Next button below each page to proceed, or the Back button to return to the previous step.

Who should complete this form?

Only persons wishing to apply for an advertised position in the Capricorn District Municipality.

Additional Information

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.

B. Personal Information
^{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.}

Surname

Full Names

Date of Birth

Are you a South African Citizen?

If no, what is your nationality?

ID Number

^{Passport number in the case of non-South Africans.}

Race

^{This information is required to enable the department to comply with the Employment Equity Act, 1998.}

Gender

^{This information is required to enable the department to comply with the Employment Equity Act, 1998.}

Do you have a disability?

Have you been convicted or found guilty of a criminal offence (including an admission of guilt)?

^{The Executive Authority shall consider the criminal record (s) against the nature of the job functions in line with internal information security and disciplinary code.}

Do you have any pending criminal case against you?

^{The Executive Authority shall consider the criminal record (s) against the nature of the job functions in line with internal information security and disciplinary code.}

Have you ever been dismissed for misconduct from the Public Service?

^{This information will only be taken into account if it directly relates to the requirements of the position.}

Do you have any pending disciplinary case against you?

Have you resigned from a recent job pending any disciplinary proceeding against you?

^{This information will only be taken into account if it directly relates to the requirements of the position.}

Have you been discharged or retired from the Public Service on grounds of ill-health or on condition that your cannot be re-employed?

^{This information will only be taken into account if it directly relates to the requirements of the position.}

Are you conducting business with the State or are you a Director of a Public/Private company conducting business with the State?

^{The applicant may submit additional information separately where the space provided is not sufficient.}

In the event that you are employed in the Public Service, will you immediately relinquish such business interests?

Please specify the total number of years of experience you have in the Private Sector

Please specify the total number of years of experience you have in the Public Sector

If your profession or occupation requires official registration, provide date of registration

If your profession or occupation requires official registration, provide registration number

C. Contact Details and Medium of Communication

Telephone number

Preferred language for correspondence

Method for additional correspondence?

Contact details (in terms of additional correspondence)

D. South African Official Language Proficiency

Language

Speak

Write or read

E. Formal Qualification (from highest to lowest)
^{Departments must accept certified documents that accompany the application(s) with certification that is up to 6 months, unless the advert prescribes a longer period.}

Name of School/Technical College

Name of qualification obtained

Year obtained

F. Work Experience (Also attach a detailed CV)
^{The applicant may submit additional information separately where the space provided is not sufficient.}

Employer

Post held

From (MMYY)

To (MMYY)

Reason for leaving

If you were previously employed in the Public Service, is there any condition that prevents your reappointment

Attach CV, ID and Copy of Certifications in PDF format (Attachments should not exceed 10MB per document).

G. References

Name

Relationship to you

Telephone number

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 provided will result in my application being disqualified or disciplinary action taken against me if I am appointed. The processing of personal Information in the Capricorn District Municipality is subject to the provision of the Protection of Personal Information Act (POPIA) No.4 of 2013 and Regulations

Application for Employment

Welcome to the Capricorn District Municipality vacancy application

Who should complete this form?

Additional Information

A. The Advertised Post

C. Contact Details and Medium of Communication

D. South African Official Language Proficiency

E. Formal Qualification (from highest to lowest) Departments must accept certified documents that accompany the application(s) with certification that is up to 6 months, unless the advert prescribes a longer period.

F. Work Experience (Also attach a detailed CV) The applicant may submit additional information separately where the space provided is not sufficient.

G. References

E. Formal Qualification (from highest to lowest)
^{Departments must accept certified documents that accompany the application(s) with certification that is up to 6 months, unless the advert prescribes a longer period.}

F. Work Experience (Also attach a detailed CV)
^{The applicant may submit additional information separately where the space provided is not sufficient.}