SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 1/7
(To be completed IN FULL by the applicant in block letters.)
NB: PLEASE NOTE THAT INCOMPLETE FORMS WILL NOT BE ACCEPTED.
PERSONAL DETAILS
Surname:
First Name(s):
Date of Birth:
ID Number:
Contact No.:
Email Address:
Residential Address:
Postal Address:
Nationality:
Marital status: Married Not married
Gender: Male Female
Ethniticity White Black Coloured Other
Disability Yes No
If yes above, type of disability
DETAILS OF POSITION APPLIED FOR
1. Position(s) applying for:
2. What type of position are you applying for? (Please tick() appropriate box)
Internship
Temporary/Contract Employment
Part-time Employment
Full-time Employment
3. Are you willing to work week-ends? Yes No
4. Are you willing to work in the evenings? Yes No
5. Are you willing to work overtime if so required? Yes No
6. What is your current salary? (External candidates only)
7. What is your notice period? (External candidates only)
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 2/7
PERSONAL INFORMATION:
1. Have you ever worked for SU before: Yes No
If “Yes”, please provide details of position, employee number and date.
2. Have you ever applied for work at SU before? Yes No
If “Yes”, please provide details of position and date.
3. Do you have friends, relatives or acquaintances working for SU? Yes No
If “Yes”. Please provide details.
Name & Surname Relationship
4. Are you willing to submit to the following tests/checks if deemed necessary by SU?
(Please tick () the test/check you submit to willingly.)
Medical Fitness Test Yes No
ITC Checks Yes No
Reference Checks Yes No
Competency/Assessment Test Yes No
Computer Literacy Test Yes No
5. Have you ever been convicted of a criminal offense? Yes No
If “Yes”, provide details.
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 3/7
EDUCATION, TRAINING, SKILLS AND EXPERIENCE
1. Language Skills – please indicate () in which of the following languages you are proficient:
Language Read Write Speak
English
Afrikaans
Mandarin
Oshiwambo
Damara/Nama
Oshiherero
Portuguese
French
Spanish
German
Other:(list here)
2. Secondary School Education:
Name of School Highest Grade Completed Year obtained
3. Tertiary Education:
Full Part On-
Name of Institution time time line Diploma/Degree Obtained Year obtained
4. Employment History:
(Please list your work experience for all the employers beginning with your most recent position held.)
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1. Main responsibilities:
2.Main Achievements:
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 4/7
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1. Main Responsibilities:
2.Main Achievements:
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1.Main Responsibilities:
2.Main Achievements:
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1.Main Responsibilities:
2.Main Achievements:
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 5/7
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1. Main Responsibilities:
2.Main Achievements:
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1.Main Responsibilities:
2.Main Achievements:
Name of Employer Position Period of Employment Reason for leaving
Date from Date to
1.Main Responsibilities:
2.Main Achievements:
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 6/7
5. Short Courses Attended:
Institution Country
Course Name Date
Institution Country
Course Name Date
Institution Country
Course Name Date
Institution Country
Course Name Date
Institution Country
Course Name Date
Institution Country
Course Name Date
Institution Country
Course Name Date
6. Professional Membership:
Professional Membership Name of entity Membership No.
7. Vehicle Operating Licenses:
Type of License (Code) Year Obtained Expiry date
8. Computer Proficiency:
Type of Programme Basic User Intermediate User Advanced User
MS Word
MS Excel
MS PowerPoint
MS Outlook
SAP
Others: (list below)
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
SU-HRM-ODR-DD-01-DF02
APPLICATION FOR EMPLOYMENT
Rev 8 Page 7/7
9. Please state shortly your reasons for seeking alternative employment:
REFERENCE CHECKS
1. Name & Surname:
Contact Number:
E-mail Address:
2. Name & Surname:
Contact number:
E-mail Address:
NB! References provided here WILL be contacted.
DECLARATION
I, (full name(s) & surname) hereby certify that the
Information supplied above is true and correct. I hereby acknowledge and agree that should it become
evident that I have willingly omitted or obscured the truth, Swakop Uranium may at any time and during
any stage of my application and/or employment terminate my employment on the grounds of dishonesty.
Signature (Applicant): Date:
The electronic version of this document is official. All printed versions are regarded as uncontrolled copies.
