Strictly Confidential

Registration Document


PERSONAL INFORMATION

First Names
Call Name / Known As
Surname
Nationality
South African ID No.
Passport Number / Expiry Date
Date Of Birth (YYYY / MM/DD)
Gender
Marital Status
Children (Number/Ages)
Next Of Kin /
Relationship
Contact details for above person
Medical Health (list all conditions)
Smoker (yes / no)
Do you have a criminal record?
CONTACT DETAILS
Home Telephone
Work Telephone
Cell phone Number / Alternate
Fax Number
Email Address
PO Box / Street Address
Town /
Post Code
Province / State
Country
LANGUAGES
Home Language
Other Languages /
Fluent
Conversational
Basic
QUALIFICATIONS
Name Of High School / Qualification Awarded / Date Completed
Name Of College or University / Qualification Awarded / Date Completed
Name Of Awarding Body / Institution / Certificate / Course Attended / Date Completed
***IMPORTANT: You must include copies of yourqualifications***
CURRENT EMPLOYMENT
Current Employer
Address / Location
Position
Start Date (year/month) / Year / Month
Notice period
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number
PREVIOUS WORK HISTORY
(Please ensure that you include all work history and account for any gaps)
Employer Name
Address / Location
Position
Start Date (year/month) / Year / Month
End Date (year/month) / Year / Month
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number

COPY and PASTE the above table as many times as needed according to your work experience.

Employer Name
Address / Location
Position
Start Date (year/month) / Year / Month
End Date (year/month) / Year / Month
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number

COPY and PASTE the above table as many times as needed according to your work experience.

Employer Name
Address / Location
Position
Start Date (year/month) / Year / Month
End Date (year/month) / Year / Month
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number

COPY and PASTE the above table as many times as needed according to your work experience.

Employer Name
Address / Location
Position
Start Date (year/month) / Year / Month
End Date (year/month) / Year / Month
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number

COPY and PASTE the above table as many times as needed according to your work experience.

Employer Name
Address / Location
Position
Start Date (year/month) / Year / Month
End Date (year/month) / Year / Month
Details of company / farm(please give details of operation, size, breeds / varieties, no. of staff & reporting structure)
Your responsibilities and duties
Reason for leaving
Reference /
Full Name
Relationship
Contact Number

COPY and PASTE the above table as many times as needed according to your work experience.

OTHER INFORMATION

Drivers License (yes / no)

/

Type / Code

Own Car (yes / no)

Current Monthly Gross Salary

Details of Salary package
Desired Salary Package
Willing to relocate within SA?
Willing to relocate outside SA?
Preferences
(Please state any preferences in terms of types of employment, areas of work, special circumstances etc)
OTHER IMPORTANT NOTES

Sport, Hobbies & Other Interests

Personal Achievements

Community / Social Involvement

Professional Memberships

Work & Residency Permit Details

(Non-SA citizens only)

PHOTO
Please insert a recent small photo of yourself.

Thank you for taking the time to complete the CV template.

Page1 of 7 Pages

This document is for the use of AgriSTAFF only and is not in any form, electronic or otherwise to be distributed without the consent of the person whose details are included herein.

10 January 2019