SOUTH AFRICAN POLICE SERVICE
APPLICATION FOR APPOINTMENT IN AN ADVERTISED POST
Post for which you are a
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T WLL BE REGISTERED)
DID YOU APPI.Y FOR ANY OTHER.POST IN THIS ADVERTISEMENT?
IF YES, SPECIFYTHE POST NTJMBERS:
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The application form must be completed in your own handwriting. All instructions on the application
form must be adhered to. Failure to do so may result in the application being turned down.
An original application forrn and CV must be submitted. Copies will not be accepted.
This form must be sworned to or affirmed and then be signed in the presence of a Commissioner of
Oath.
The CV must contain full p;irrticulars of all boards on which an applicant serves, remunerated work
outside the public service, career promotions/appointments, career developments, career history,
current studies and qualifications.
Certified copies of an applicant's lD document, motor vehicle driver's licence, all educational
qualifications obtained and service certificates of previous employers stating the post occupied,
must also be submitted and be attached to every application.
Verification of qualifications will be done and the appointment will be subjected to confirmation of the
qualifications. ",
Applicants will be subjected,to a vetting process which will inclGd..esecufr.ly sdi$Bning and fingerprint
verification '
Applications must be mailed timeously, prior to the due date. Late a'p,p$effi9
will.pot be accepted
**
oiconsidered. Applications that do noi meet these requiremeq\$ffi nci"N.!e Cb*sidered.
Correspondence may be conducted with successfu,,k$didateis only, ,
Short-listed candidates will'lbe interviewed only on the date a11| tim=e..,specified by the relevant
ln filling the above post, in applicant whose appoiniffiBiil will promote representivity may receive
preference.
preference ,:::i:,,: $
The South African Police Service is not u,{}iiai any oblig_ation .to fill a post after it has been
advertised. '..lffi ,l*s'i "
Although the post is adverti.-qie$, the .N-ati.enai'slGommissioner may withdraw the post from the
advertisement, re-advertise th$$ost orgliiithd\lilpst by;[ransferring
bg;[ransferri a person at the same level where
this is deemed to be in the inter€,${.o.{Sery.ice detn{qry.
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The appointment of the su,cces$[illappligrant will_come into effect on the first day of the month
following the date on which the Ndti approved the appointment.
Enquiries can be directdd co bntioned in the advertisement.
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(Mttt youR AppLrcATtoN As sooN A€ pr:sita THE DUE DATE.IN SOME INSTANCES POSTAL
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PERSAL/ FORCE NUMBER (currently in SAPli, SANDF or another Public Service Departmen0
SURNAME
FIRST NAMES
IDENTITY NUMBER
DATE OF BIRTH I lq B lti IJ l'i I xll lrce ,W
RANK (SAPS or SANDF) lisrl Pt TITLE ilt!*'i rn t l:'k'tt i r u i: ( L64 y'
ARE you A sourH AFRTcAN crrzENl I ves I NO
POSTAL ADDRESS WORKADDRESS
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vIARITAL STATUS MARRIED SINGLEX DIVORCED
( QUALIETCATIONS
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LAN6UA6E PROFICIENCY
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xF yOUR ANSWER,TO ANy OF,;THE ABOVE Is NO, SPECIFY .
PIIEWOUs TERMINATION OF sERVICE (DISCHARGE
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(!F YES ABOVE, PROVIDEDETAILS.IN i[ $EPARATE.SHE.ET)
EMPLOYER:
HAVE YOU EVER BEEN DECLARED INSOLVENT?
CRIMININAL / OFFENCES
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HAVETYOU EVER. BEEN IFOUNO ,TY OF A CBIMINAI.OFFENCE! YES NO
YES NO
YES
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CASE NUMBER: NAME OF Pq.HQE STATION:,.
OFFENCE:' G,q,',aasaultrl:
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PERIOD:,........., ..... (eg Z yeari) l AMOUNT: R....................
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START DATE END DATE coMPANY (TNSTTTUTTON) RE$SON FOR LEAVING
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F;., .PA R:II CU IARS. OFITIV. ORK REFE RENCES (NOI qSIATVES}
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ADDRESS OF CQMPAN "Icrr,rb.) [;'$g,, rlun,l llo,,t. ADDRESS OF COMPANY: fl ! t c;l it lr (, n(t,.r lltft t, ((
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I c. cERTTFTcATErARTTcuLARS oF woRK REFERENcES (Nor RELATTvES1 I
1. I hereby apply for an appoint,nent to a post in the South African Police Service. I realise that there are a
linrited number of posts and that no promises have been made to me about an appointment or posting in the
South African Police Service
2 After *attestation/appointment in the South African Police Seruice, I shall perform my dutie.s as an employee of
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the South African Police Service to the best of my ability. I undertake to abide by the provisions and
regulations of the Police Servi'ie Act, 1995 (Act no 68 of 1995) or Pubtic Service Act, 1994 (Act no 103 of
1994), as applicable. I shall also obey any lawful order or instruction issued in terms of these regulations.
I I realise that - .i i
3.1 The National Commissioner is inder no obligation to fill an advertised post;
,3.2 I may have to submit myself to any medical or other fesfs fhaf are an inherent requirement for the post, and
that may be required to finalisetmy application for an appointment;
.33 I have to provide full particulars: about my obligations to employers and debts if my application receives further
considerationi :
s.4 The $outh African Police Serylpe will verify my residential address and qualificafions as well as citizenship.
'''s.5 Reference checks will be cofidulcted on att short fisted applicants
3.6 tf my application does not rheet the requiremenfs sef out in the advertisement, my application will be turned
down',
3.7 I may be subjected to a security clearance; and
3.8 lnterviews with shoruisted applicants will take place on the time determined by the
interuiewing panel.
3.9 For appointment in a post which forms part of certain identified to a vetting
process in terms of the prescriiits of the Sexua/ Offences Act, 2007 (Act Children's Act,
2A05 (Act no 38 of 2005). lf my name appears on either one of the will not
be considerod and deemed as null and void.
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4. I certify that the information:saipplied by me on this in my own handwriting
and words and that it is in allre.specfs correct and true.
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* Delete which is not applicable and initial and date.
rt i rno* and understand the this form).
,tr I have (no) objection(s) to taking
,E I (do not) consider the prescriPed conscience.
fr I affirm that the content form) is true.
03:2
SIGNATURE OF APPLICANT
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I certify that the ackncswiiedged that he/she knows and understands the content of this statement which
was sworn to/affirmed and tbe deponent's signature was placed thereon in my presence.
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cN THE,..... DAY OF...... . .: .ri;,..,.. . . (year) 20........,.. AT
'
PLACE:
SIGNATURE OF COMMISSIONER OF OATHS
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