APPLICATION FOR EMPLOYMENT - Oasis

1 APPLICATION FOR EMPLOYMENT 1. PERSONAL DETAILS Surname (In block letters) Mr. First Names (In full) Ms. Preferred first name Residential Address Postal Address Postal Code Telephone: Home Business: Cell Phone In order to comply with Department of Labour requirements, please complete the following information for statistical purposes. Age Legal Marital Statu No. of Dependents (Adults) No. of Dependents (Children) Gender Male Female Race African Indian Coloured White Do you have a disability as defined in the EMPLOYMENT equity act? (A list of these disabilities to be provided on request) Yes No If yes, please specify No.

2 Citizenship Please attach a copy of your ID document and, if applicable, drivers licence. Are you a member of a trade union? If Yes, Please specify _____ 2. FAMILY BACKGROUND Eg. Father: Doctor/ Lawyer Father: _____ Mother: _____ Sibling 1: _____ Sibling 2: _____ Sibling 3: _____ Sibling 4: _____ Spouse: _____ 3. HEALTH Do you suffer from any serious illnesses for which you are taking medication, or physical disabilities that may prevent you from performing the required job responsibilities? Yes No If yes, please specify 4. NEXT OF KIN DETAILS i) Name ii) Name Relationship Relationship Address Address Tel.

3 Home Tel. Home Tel. Work Tel. Work 5. EDUCATION AND QUALIFICATION a) Schooling Schools attended Name and place Dates Standard Reached To From b) Further Studies University, Technical or Correspondence College Dates Qualifications Attained To From 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Notes: Please attach certificates and academic records. c) Additional Information Special Knowledge, skills, studies still to be completed, Professional Qualifications / Memberships of Associations d) List of Computer packages that you have knowledge and experience on: Package Level of Knowledge (1 =expert.

4 2 = intermediate) No of years of experience Microsoft Word Excel Outlook (incl diary, tasks) Access Statspro Decalog Compliance Legal Perfect LexisNexis e) List of Short Courses Attended Institution Name of Course/Seminar Date f) Knowledge and experience with legislation (please add more rows as required) Legislation Level of Knowledge (1= expert; 2= intermediate) Experience (in years) Financial Advisory and Intermediary Services Act (& Board Notices) Financial Intelligence Centre Act Securities Services Act Prevention of Organised Crime Act Basic Conditions of EMPLOYMENT Act Income Tax Act as amended Pension Funds Act ASISA Codes and Standards Collective Investment Schemes Act Companies Act Long Term Insurance Act Regulation 28 (Certified copies of Education, Qualifications and Memberships will be required as proof of the above) 6.

5 POSITION SOUGHT For what position are you applying? Position Code/s Salary Requested? Notice Period? Have you applied previously to the Oasis Group for EMPLOYMENT ? Yes No Give Details Relevant skills / Experience you have for the position applied for Please attach as Annexure 1 a list of legislation that you have expert experience on and intermediate experience 7. EMPLOYMENT RECORD Current Position (If unemployed give details of most recent EMPLOYMENT ) Name of Employer Type of Business Job Title Dates of EMPLOYMENT : From To Remuneration Total Package per Month R Nett Income per Month R Proof of Income Will Be Required Other Benefits Main Duties and Responsibilities Reason for Leaving Name of Immediate Supervisor Title of Immediate Supervisor Contact Number Name of Employer Type of Business Job Title Dates of EMPLOYMENT .

6 From To Remuneration Total Package per Month R Nett Income per Month R Proof of Income Will Be Required Other Benefits Main Duties and Responsibilities Reason for Leaving Name of Immediate Supervisor Title of Immediate Supervisor Contact Number Name of Employer Type of Business Job Title Dates of EMPLOYMENT : From To Remuneration Total Package per Month R Nett Income per Month R Proof of Income Will Be Required Other Benefits Main Duties and Responsibilities Reason for Leaving Name of Immediate Supervisor Title of Immediate Supervisor Contact Number 8.

7 RECRUITMENT CHECKS Pending Criminal Proceedings Do you have any credit defaults or criminal record or are there any proceedings pending? Yes No If yes, please provide details: 9. DECLARATION I hereby declare that the above information is true and correct, and acknowledge that misrepresentations made by me will prejudice my APPLICATION or my continued EMPLOYMENT with the company. Signed Date