1. BIOGRAPHICAL INFORMATION
Please note: Certain information which may be sensitive, is requested in this application form. The information is requested to ensure that the company's records are in compliance with the Department of General Statistics current requirements and to facilitate the company's obligations in terms of employment equity planning.
2. REFERRAL
3. FAMILY
4. EMPLOYMENT HISTORY
5. MOBILITY
6. EDUCATION & TRAINING
7. LANGUAGE PROFICIENCIES
List the languages you speak and indicate your proficiencies whether GOOD/FAIR/POOR in the space allowed.
8. HEALTH
9. COMMENCEMENT AND SALARY
10. CONTACTABLE REFERENCES
Work references only, no family relation to be listed.
11. REFERENCE, VERIFICATION AND FINANCIAL SERVICES BOARD CONSENT
I hereby give consent to Lewis Stores(Pty)Ltd ("Lewis") to obtain the relevant information from the Financial Services Board about me and to conduct the following checks in advance of my potential employment and at any time during my employment at Lewis:
12. DISCLOSURE OF INFORMATION
I hereby declare that all particulars and answers in this application and other required documents below, are true and that no applicable facts or information are being withheld. I agree that this application and declaration shall be the basis of any contact between the company and myself and that the withholding of any material information or failure to answer the questions correctly may halt the pre appointment process and should I be employed will constitute a breach of a condition of my employment which could lead to the termination of my contract in the event than an undisclosed matter becomes known after appointment. I consent to the use by the Company of my personal information provided therein for their purposes.
Check the appropriate block and complete