Application Form For Employment Page 2

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D. LANGUAGE PROFICIENCY – state ‘good’, ‘fair’ or ‘poor’
Languages (specified)
Speak
Read
Write
5
E. QUALIFICATIONS
(please ignore if you have attached a CV with these details
Name of School / Technical College
Highest qualification obtained
Year
Obtained
Tertiary education (complete for each qualification you obtained)
Year
Name of Institution
Name of Qualification
Obtained
Current study (institution and qualification)
5
F. WORK EXPERIENCE
(please ignore if you have attached a CV with these details)
Employer (including
From
To
Reason for
Post held
current employer)
Leaving
MM
YY
MM
YY
If you were previously employed in the Public Service, indicate whether
YES
NO
any condition exists that prevents your re-employment
If yes, provide the name of the previous employing
department
G. REFERENCES (please ignore if you have attached a CV with these details)
Name
Relationship to you
Tel. No. (office hours)
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 supplied
could lead to my application being disqualified or my discharge if I am appointed.
Signature:
Date:

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