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EKAPA-HRM-PR-09 (C)

Annexure C
Revision: 01
Page 1 of 2

Please note that EKAPA Mining (Pty) Ltd does not at any time require any form of payment for recruitment purposes

EXTERNAL JOB APPLICATION FORM


Please note the following documentation must accompany this application: Certified copies of the Applicant’s ID,
Qualifications, Driver’s License and a CV (NO APPLICATIONS WILL BE CONSIDERED WITHOUT THESE DOCUMENTS)

SECTION A – JOB DETAILS

NAME OF POSITION APPLIED FOR ADVERT REF NUMBER


POSITION ADVERTISED IS IT? PERMANENT TEMPORARY FTC ADVERT CLOSING DATE
ARE YOU CURRENTLY EMPLOYED YES NO IF YES, PLEASE INDICATE NOTICE PERIOD
Please indicate the source of this Other Source?
job listing, e.g. LinkedIn,
newspaper, family or friends, etc.

SECTION B - APPLICANT’S PERSONAL DETAILS


SURNAME TEL. NO. (HOME)
FULL NAMES CELL NUMBER
PREFERRED NAME TEL. NO. (WORK)
E-MAIL ADDRESS TEL. NO. (FAX)
TITLE PROF DR MR MRS MISS
GENDER MALE FEMALE DRIVERS LICENCE YES NO DRIVERS LICENSE CODE
NATIONALITY ID NUMBER
MARITAL STATUS MARRIED SINGLE DIVORCED WIDOWED DATE OF MARRIAGE
IF YES PLEASE
DO YOU HAVE A DISABILITY? YES NO EXPLAIN
COST TO COMPANY or EXPECTED MONTHLY COST TO COMPANY

SECTION C - APPLICANT’S ADDRESS DETAILS


POSTAL ADDRESS PHYSICAL ADDRESS
CITY CITY
PROVINCE PROVINCE
POSTAL CODE POSTAL CODE

SECTION D - APPLICANT’S HIGHEST SCHOOL QUALIFICATION


NAME OF HIGH SCHOOL
HIGHEST STANDARD / GRADE PASSED YEAR PASSED

SECTION E - APPLICANT’S TERTIARY QUALIFICATION DETAILS


HIGHEST QUALIFICATION YEAR OBTAINED
INSTITUTION OBTAINED FROM
TRADE TEST QUALIFICATIONS (IF APPLICABLE)
TRADE TEST (SPECIFY TRADE) YEAR OBTAINED

INDICATE INSTITUTION WHERE TRADE TEST


TRADE TEST WAS OBTAINED CERT NO
INDICATE TRAINING PATH / Indicate Engineering
SECTION OBTAINED (Section 13 or Industry (MQA,
Section 28) MIETTB, MERSETA)

SECTION F – FURTHER OR CURRENT STUDIES


ARE YOU STUDYING AT PRESENT? YES NO IF YES, WHAT ARE YOU STUDYING?
INSTITUTION NAME THAT YOU ARE STUDYING THROUGH?
CURRENT YEAR OF STUDY INTENDED END DATE OF STUDY

Ekapa Mining (Pty) Ltd


EKAPA-HRM-PR-09 (C)
Annexure C
Revision: 01
Page 2 of 2

SECTION G - APPLICANT’S LANGUAGE ABILITY


INDICATE LANGUAGE READ WRITE SPEAK
1
2
3

SECTION H - ADDITIONAL COURSES


COURSE NAME INSTITUTION NAME YEAR OBTAINED

SECTION I - EMPLOYMENT HISTORY


START WITH CURRENT/MOST RECENT EMPLOYMENT
REASON FOR NAME & CONTACT
START DATE END DATE TERMINATION SURNAME NUMBER OF
NAME OF EMPLOYER POSITION HELD
DD/MM/YYYY DD/MM/YYYY OF REFERENCE REFERENCE
EMPLOYMENT PERSON PERSON
1
2
3

5
6

7
8

SECTION J – ANY ADDITIONAL INFORMATION / COMMENTS NOT COVERED IN SECTIONS ABOVE

SECTION K - APPLICANT DECLARATION


I declare that the information on this form is correct and I acknowledge / understand that any false declaration or misrepresentation of facts in
this application may render any employment agreement with Ekapa Mining (Pty) Ltd null and void.
APPLICANT’S NAME AND SURNAME

APPLICANT’S SIGNATURE DATE

Ekapa Mining (Pty) Ltd

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