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.
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
- 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
- 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
- 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)
Department where the position was advertised
If you are offered the position, when can you start OR how much notice must you
serve with your current employer?
B. PERSONAL INFORMATION1
Do you have a disability?
Are you a South African citizen?
Have you been convicted or found guilty of a criminal offence (including an
admission of guilt)?
Do you have any pending criminal case against you?
Have you ever been dismissed for misconduct from the Public Service?
Do you have any pending disciplinary case against you?
Have you resigned from a recent job pending any disciplinary proceeding against you?
Have you been discharged or retired from the Public Service on grounds of Ill-health
or on condition that your cannot be re-employed?
Are you conducting business with the State or are you a Director of a Public or
Private company conducting business with the State?
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
If you were previously employed in the Public Service, is there any condition that prevents
If your profession or occupation requires official registration, provide date and
particulars of registration