Job Application Form Page 2

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JD Form 01
Judicial Department
JOB APPLICATION FORM
38. Please provide Case Number or
39. Provide Police Record:
details of any conviction:
40. Do you have Private investments f or yourself and spouse? [YES/NO] :
41. Provide details:
42. Are you an un-discharged Bankrupt?[YES/NO]:
43. Provide details:
EMPLOYMENT INFORMATION
44. Current Employer:
46. Reason for leaving:
46. How long?:
45. Post:
47. Address:
48. E-mail:
49. Phone:
50. Previous Employer [1]:
52. How long?:
53. Reason for leaving:
51. Post:
54. Address:
55. E-mail:
56. Phone:
57. Previous Employer [2]:
59. How long?:
60. Reason for leaving:
58. Post
61. Address:
62. E-mail:
63. Phone:
64. Previous Employer [3]:
66. How long?:
67. Reason for leaving:
65. Post:
68. Address:
69. E-mail:
70. Phone:
REFERENCES [3]
71. Name:
72. Name:
73. Name:
Address:
Address:
Address:
Phone:
Phone:
Phone:
e-mail:
e-mail:
e-mail:
74. If appointed, date you could start duty:___________________________________________
TO THE BEST OF MY KNOWLEDGE AND BELIEF THE ABOVE INFORMATION IS CORRECT
Date:
75. Signature of applicant Non-Public Servant:
________________________________________
Date:
76. Signature of applicant Public Servant:
____________________________________________
77. SIGNATURE OF HEAD OF DEPARTMENT (for Public Servants):
Date:
__________________________________________
This form is to be used for all applications for appointment with the Judicial Department and all questions must be answered.
Applications for more than one post must be made on separate forms and if you require more space, additional sheets may be used.
Giving false information will lead to an automatic disqualification of your application or an instant dismissal for current
employees.
Attach an updated Curriculum Vitae (CV) with copies of FSLC/FSFE or Tertiary Education Results.
Send your completed application form to:
The Chief Registrar.
High Court of Fiji,
P. O. Box 2215,
Government Buildings,
Suva.
2

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