APPLICATION FORM FOR EMPLOYMENT SWORN AFFIDAVIT

OF GUARANTEE CERTIFICATE

PERSONAL DETAILS

Surname Given name

Preferred name

Date of birth

Marital statues

Address

Passport Number

Home phone

Mobile phone

Email

CURRENT QUALIFICATION

Qualification title Institution/Training provider Year completed

Are you currently undertaking /training? (tick one) Yes No

Course / program name

Full-time Part-time Distance Other

Signed Date

CONFIDENTIAL For Office Use Only

Photo Identy

Comments Would re- Initial Date

employ
Yes No
Photograph

Agency Info
Comments

Seal stamp of Agency.

OTHER ACTION (For Office Use Only)
Action Name Date
Interview arranged for / /
Offer of employment made
Position
Letter of advice sent
Letter of appointment signed
Induction due on / /
Payroll details entered
Probationary period expires on / /
Application unsuccessful
Letter of advice sent
Application to be destroyed on / /