Nationality and Work Authorization: *
If no, please state your nationality
If yes, please specify the type of work permit/visa you hold and the expiry date:
Disability Information: (Voluntary)
(The following questions are designed to help us better understand your needs and ensure a fair and supportive recruitment process. Any information you choose to disclose, will remain confidential).
Please indicate the type of condition(s) you have, if applicable, and specify the condition(s) below:
Mental Health Condition (e.g., depression, anxiety, etc.) – Please specify
Physical Disability (e.g., mobility impairment, paralysis, etc.) – Please specify
Sensory Impairment (e.g., blindness, hearing loss, etc.) – Please specify
Neurological Condition (e.g., epilepsy, multiple sclerosis, etc.) – Please specify
Cognitive Condition (e.g., dyslexia, autism, etc.) – Please specify
Other – Please specify
To ensure we understand and can support the overall well-being of our employees, we ask if you are currently taking any medication related to a mental health condition. Please specific for which condition as well.
Education and Qualifications: *
Highest Level of Education Completed:
Name of Qualification
Institution
Year Completed:
Certifications and Professional Memberships:
1. Certification/Membership Name:
Issuing Organisation
Date of Issuance
2. Certification/Membership Name:
Issuing Organisation
Date of Issuance
3. Certification/Membership Name:
Issuing Organisation
Date of Issuance
Employment History: *
(Please list your last three jobs, beginning with the most recent.)
1. Company Name
Position Held
Dates of Employment
Start Date
End Date
2. Company Name
Position Held
Dates of Employment
Start Date
End Date
3. Company Name
Position Held
Dates of Employment
Start Date
End Date
References: *
(Please provide two professional references. One should be recent.)
1. Full Name:
Relationship to Applicant
Company Name
Phone Number
Email Address
2. Full Name:
Relationship to Applicant
Company Name
Phone Number
Email Address
Criminal and Disciplinary History: *
(If yes, please provide details.)
(If yes, please provide details.)
(If yes, please provide details.)
Declaration and Consent: *
(Please read carefully and click the checkbox)
• I declare that the information provided in this application is correct.
• I consent to the processing of my personal data for the purpose of recruitment.
• I understand that providing false information or withholding relevant information will result in my disqualification from the recruitment process.
• I understand that if any information provided in this application is found to be false after being hired, I may be subject to disciplinary action, up to and including termination of employment.
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