C. CONTACT DETAILS Preferred language for correspondence Telephone number during office hours Preferred method for Post E-mail Fax correspondence (Mark with an X) Correspondence contact details (in terms of above) D. QUALIFICATIONS (Additional information may be provided on your CV) Name of School/Technical Highest Qualification Obtained Year College obtained Name of Institution Name of NQF Level Year Qualification Obtained (Additional information may be provided on your CV) E. WORK EXPERIENCE Employer (starting with the Position From To Reason for most recent) MM YY MM YY leaving If you were previously employed in Local Yes No Government, indicate whether any condition exists that prevents your re-employment If yes, provide the name of the previous employing municipality F. DISCIPLINARY RECORD Have you been dismissed for misconduct on or Yes No after 5 July 2011? If yes, Name of Municipality/Institution: Type of Misconduct/Transgression Date of Resignation/Disciplinary case finalised Award/Sanction Did you resign from your job on or after 5 July Yes No 2011 pending finalisation of the disciplinary proceedings? If yes, provide details on a separate sheet.
C. CONTACT DETAILS Preferred language for correspondence Telephone number during office hours Preferred method for correspondence (Mark with an X) Post E-mail Fax Correspondence contact details (in terms of above) D. QUALIFICATIONS (Additional information may be provided on your CV) Name of School/Technical College Highest Qualification Obtained Year obtained Name of Institution Name of Qualification NQF Level Year Obtained E. WORK EXPERIENCE (Additional information may be provided on your CV) Employer (starting with the most recent) Position From MM YY To MM YY Reason for leaving If you were previously employed in Local Government, indicate whether any condition exists that prevents your re-employment Yes No If yes, provide the name of the previous employing municipality F. DISCIPLINARY RECORD Have you been dismissed for misconduct on or after 5 July 2011? Yes No If yes, Name of Municipality/Institution: Type of Misconduct/Transgression Date of Resignation/Disciplinary case finalised Award/Sanction Did you resign from your job on or after 5 July 2011 pending finalisation of the disciplinary proceedings? If yes, provide details on a separate sheet. Yes No
dihlabeng_municipality_application_form_for_employment.docx