G.P.S 81/971431

Republic of South Africa

APPLICATION FOR EMPLOYMENT

Z83 (81/971431)

Effective 01 January 2021

WHAT IS THE PURPOSE OF THIS FORM

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.

WHO SHOULD COMPLETE THIS FORM

Only persons wishing to apply for an advertised position in a government department.

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.

SPECIAL NOTES

  • 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 non-South Africans.
  • 3 – This information is required to enable the department to comply with the Employment Equity Act, 1998.
  • 4 – This information will only be taken into account if it directly relates to the requirements of the position.
  • 5- 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.
  • 6- The applicant may submit additional information separately where the space provided is not sufficient.
  • 7- 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.
  • 8- Each application for employment form must be duly signed and initialed by the applicant. Failure to sign this form may lead to disqualification of the application during the selection process.
A. THE ADVERTISED POST (All sections of this form are compulsory)
Reference number (as stated in the advert)
DHET32/08/2022
Department where the position was advertised
DHET
Position Name
IT Technician: Corporate Management Services
If you are offered the position, when can you start OR how much notice must you serve with your current employer?
Available Immediately
B. PERSONAL INFORMATION1
Surname
Mokone
Full names
Thabang Charles
Date Of Birth
1990-01-04
Identity Number*
9001045339081
Passport number
Ethnicity*
African
Gender*
Male
Do you have a disability?
No
Are you a South African citizen?
Yes
Have you been convicted or found guilty of a criminal offence (including an admission of guilt)?
No
Do you have any pending criminal case against you?
No
Have you ever been dismissed for misconduct from the Public Service?
No
Do you have any pending disciplinary case against you?
No
Have you resigned from a recent job pending any disciplinary proceeding against you?
No
Have you been discharged or retired from the Public Service on grounds of Ill-health or on condition that your cannot be re-employed?
No
Are you conducting business with the State or are you a Director of a Public or Private company conducting business with the State?
No
In the event that you are employed in the Public Service, will you immediately relinquish such business interests?
No
Please specify the total number of years of experience you have
Public Sector
8
Private Sector
0
If you were previously employed in the Public Service, is there any condition that prevents your re-appointment
No
If your profession or occupation requires official registration, provide date and particulars of registration
Date
1900-01-01
Institution Name
Reg No
C. CONTACT DETAILS AND MEDIUM OF COMMUNICATIONS
Preferred language for correspondence
English
Email
thabangmokone04@gmail.com
Contact Number / Mobile Number
0837068969

D. SOUTH AFRICAN OFFICIAL LANGUAGE PROFICIENCY – state ‘good’, ‘fair’, or ‘poor’

Language
Language Name English
Speak Proficiency Good
Write and Read Proficiency Good
Language
Language Name Northern Sotho
Speak Proficiency Good
Write and Read Proficiency Fair
Language
Language Name Afrikaans
Speak Proficiency Good
Write and Read Proficiency Good
Language
Language Name Zulu
Speak Proficiency Fair
Write and Read Proficiency Poor

E. FORMAL QUALIFICATION7 (from highest to the lowest)

Name of Institution
Name of Institution - Boston City Campus and Business College
Name of qualification obtained - Information Technology
Student Number - 13006390
Year obtained - 2011
Status - Completed

F. WORK EXPERIENCE (Also attach a detailed CV)

Employer
Employer Name - South African Airways
Post held - System Administrator
From - 2012-07-02
To - 2020-10-30
Status - Retrenched
Reason for leaving - Took Voluntary Severance Package, the company was under financial distress

G. REFERENCES

References
Name of reference - Louis Peens
Relationship to you - Manager
Contact Number (Office Hours) - (071) 850-7313

DECLARATION

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:
Declaration Date
2022-08-22 11:13:01

Signature