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D. NO attach certified copy SACE Number Attach copy Applicable to educator posts NATIONALITY POSTAL ADDRESS RESIDENTIAL ADDRESS If different from postal MARITAL STATUS WORK TELEPHONE NUMBER CODE HOME TELEPHONE CELL NUMBER E MAIL ADDRESS GENDER male/female RACIAL GROUP for Employment Equity purpose SWGC-HR-Employment Profile Form CS -r02 of 3 2009/04/08 Page 1 3. EMPLOYMENT PROFILE FORM CS 1. Name of the campus If applicable 2. Post Description and Post level as in advert 2. PERSONAL PARTICULARS OF APPLICANT SURNAME and INITIALS NAME S PERSAL NO if currently/ Previously employed I. LANGUAGE PROFICIENCY State good fair poor LANGUAGES specify SPEAK READ WRITE 4. QUALIFICATIONS Attach certified copies of certificates academic record ACADEMIC e*g* BA NAME OF INSTITUTION NAME OF QUALIFICATION MAJORS/OR 4THYEAR PROFESSIONAL e*g*STD OTHER Fields of Study e*g* Technical REQV e*g*13 YEARS OF APPROPRIATE EXPERIENCE QUALIFIED yes/no CURRENT GROSS SALARY 5. COURSES ATTENDED E*g. OBE Course. Certified copies of Certificates if available should be attached. No documents will be returned NAME OF COURSE SERVICE PROVIDER DURATION OF COURSE 6. CURRENT EMPLOYMENT INSTITUTION PROVINCE SUBJECTS YEARS POST LEVEL Page 2 7. PREVIOUS EMPLOYMENT FUNCTION PERIOD OTHER 8. SKILLS /OTHER RELEVANT INFORMATION 9. HAVE YOU EVER 1. Been convicted of misconduct /criminal offence 2. Been dismissed from employment YES NO 3. Been granted voluntary severance package 4. Taken early retirement e*g* medical reasons No REFERENCES CONTACT DETAILS RELATIONSHIP DECLARATION I declare that the above information is true and correct. I understand that any false or incorrect statement will render me liable to be discharged on account of misconduct. ----------------------------------------SIGNATURE OF APPLICANT Please Note Only an original will be regarded as valid photocopied signature will not be acceptable Page 3. EMPLOYMENT PROFILE FORM CS 1. Name of the campus If applicable 2. Post Description and Post level as in advert 2. PERSONAL PARTICULARS OF APPLICANT SURNAME and INITIALS NAME S PERSAL NO if currently/ Previously employed I. LANGUAGE PROFICIENCY State good fair poor LANGUAGES specify SPEAK READ WRITE 4. QUALIFICATIONS Attach certified copies of certificates academic record ACADEMIC e*g* BA NAME OF INSTITUTION NAME OF QUALIFICATION MAJORS/OR 4THYEAR PROFESSIONAL e*g*STD OTHER Fields of Study e*g* Technical REQV e*g*13 YEARS OF APPROPRIATE EXPERIENCE QUALIFIED yes/no CURRENT GROSS SALARY 5. COURSES ATTENDED E*g. OBE Course. Certified copies of Certificates if available should be attached. COURSES ATTENDED E*g. OBE Course. Certified copies of Certificates if available should be attached. No documents will be returned NAME OF COURSE SERVICE PROVIDER DURATION OF COURSE 6. CURRENT EMPLOYMENT INSTITUTION PROVINCE SUBJECTS YEARS POST LEVEL Page 2 7. No documents will be returned NAME OF COURSE SERVICE PROVIDER DURATION OF COURSE 6. CURRENT EMPLOYMENT INSTITUTION PROVINCE SUBJECTS YEARS POST LEVEL Page 2 7. PREVIOUS EMPLOYMENT FUNCTION PERIOD OTHER 8. SKILLS /OTHER RELEVANT INFORMATION 9. HAVE YOU EVER 1.

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