FRM/HRD/0012 APPLICATION FOR EMPLOYMENT …€¦ · IDENTIFICATION NUMBER/NATIONAL REGISTRATION...
Transcript of FRM/HRD/0012 APPLICATION FOR EMPLOYMENT …€¦ · IDENTIFICATION NUMBER/NATIONAL REGISTRATION...
APPLICATION FOR EMPLOYMENT
SEASONAL/SUPPLEMENTARY STAFF APPLICANTS ARE TO COMPLETE SECTIONS 1, 3 AND 4 ONLY
(PLEASE COMPLETE FORM IN CAPITAL LETTERS)
SECTION 1
1. TERRITORY OF EMPLOYMENT: BARBADOS GUYANA TRINIDAD & TOBAGO
2. ___________________________________________________________________________________
TITLE (MR/MS/MRS) SURNAME FIRST NAME OTHER NAME(S):
3. DATE OF BIRTH (DD/MM/YYYY): ________________________________________________________
4. ADDRESS: _________________________________________________________________________
___________________________________________________________________________________
5. EMAIL ADDRESS: _____________________________________________________________________
6. TELEPHONE NOS: ___________________ (h) ____________________ (c) ______________________ (other)
7. IDENTIFICATION NUMBER/NATIONAL REGISTRATION NUMBER: ________________________________
8. TAX REGISTRATION/TAMIS NUMBER: _____________________________________________________
9. NATIONALITY: ________________________________ 10. RESIDENCY/CITIZENSHIP: YES NO
11. NATIONAL INSURANCE SCHEME NUMBER? _______________________________________________
12. HAVE YOU WORKED PREVIOUSLY FOR CXC? YES NO
IF YES, PLEASE STATE THE MOST RECENT YEAR: _____________ ACTIVITY: _____________________
13. KINDLY INDICATE THE ROLE(S) FOR WHICH YOU ARE APPLYING AND ARE QUALIFIED:
Examining Processing Supervisor Senior Data Entry Finalizer Senior General Worker/Porter
Examining Processing Assistant Data Entry Operator General Worker/Porter
SECTION 2
FOR CXC USE ONLY
DATE OF EMPLOYMENT: EMPLOYEE NUMBER: ACTIVITY:
ENTERED INTO DATABASE: LOCATION: TAX CODE:
SCREENED: AVAILABLE FROM:
ACTION COMPLETED BY: INITIAL(S): DATE:
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FRM/HRD/0012
JAMAICA
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SECTION 3
14. EDUCATION/QUALIFICATIONS
Please provide details of your education below:-
Details of Educational institutions attended:-
LEVEL NAME OF
SCHOOL/INSTITUTION
ADDRESS YEARS
ATTENDED
PRIMARY
SECONDARY
TERTIARY
1.
Course Title:
2.
Course Title:
QUALIFICATIONS OBTAINED
YEAR SUBJECT EXAMINING BODY LEVEL GRADE
15. WORK EXPERIENCE
Please provide details of your work experience below:-
EMPLOYMENT PERIOD ORGANISATION POSITION
13. TRAINING
Please provide details of your training below:-
YEAR TRAINING INSTITUTION COURSE RESULT/
GRADE
14. ACHIEVEMENTS/EXTRA CURRICULA ACTIVITIES/HOBBIES
Please provide information on your achievements etc below:-
SCHOOL
WORK
OTHER
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SECTION 4
15. Please indicate below any allergies or medical conditions:
ALLERGIES: MEDICAL CONDITIONS:
16. In case of emergency, please contact:
Name:
Relationship:
Address:
Telephone: (h) (c) (w)
17. Please date and sign your application below.
I, the undersigned, certify that the information provided in this application, is true, accurate and complete to the best of my knowledge, and that the documents submitted along with this application form are genuine. I agree to be bound by the policies, procedures and rules of the organization.
DATE OF APPLICATION SIGNATURE OF APPLICANT
FOR CXC USE ONLY – DOCUMENTS PRESENTED – tick as appropriate
Documents Submitted:
National ID Card/Birth Certificate/Passport
National Insurance Card
Police Certificate of Character
Proof of Valid Bank Account
Original Certificates or Statements Verified
Letter of Character Reference Proof of Address
Medical Certificate of Fitness
Other(s): (please state)
Revised: March 2019 © Human Resource Department