Z83 form: fill in the new Z83 online (free)

A. The post you're applying for

Copy these exactly as they appear in the advert.

Position (as advertised)Department

Reference number (from the advert)When can you start?

B. Personal information

These answers go only into your PDF. We don't save them.

SurnameFull namesDate of birth (DD/MM/YY)SA ID numberNot saved anywhere; it only goes into your PDF.Passport number (non-South Africans only)

Race (for employment equity)

african white coloured indian other

Gender

female male

Do you have a disability?

Yes No

Are you a South African citizen?

Yes No

Have you ever been convicted or found guilty of a criminal offence (including an admission of guilt)?

Yes No

Do you have any pending criminal case against you?

Yes No

Have you ever been dismissed for misconduct from the Public Service?

Yes No

Do you have any pending disciplinary case against you?

Yes No

Have you resigned from a recent job pending any disciplinary proceeding against you?

Yes No

Have you been discharged or retired from the Public Service because of ill health, or on condition that you can't be re-employed?

Yes No

Are you doing business with the State, or are you a director of a company that does?

Yes No

If you're employed in the Public Service, will you immediately give up such business interests?

Yes No

Years of experience: private sectorYears of experience: public sectorProfessional registration date (if needed for the job)Registration number

C. Contact details

Preferred language for lettersContact me by

Contact details (phone, email or postal address)

D. Languages

Up to 4 South African official languages. Rate each as Good, Fair or Poor.

E. Qualifications

Highest first. Up to 4. Attach your certificates as the advert asks.

Currently studying? (institution and qualification)

F. Work experience

Latest first. Up to 3 (also attach your full CV).

If you worked in the Public Service before, is there any condition that prevents your re-appointment?

Yes No

G. References

Up to 3 people the department can call during office hours.

Declaration

Your initials (printed on both pages)Date

After downloading, sign the form (print and sign, or sign the PDF on your phone). An unsigned Z83 can disqualify your application.

Fill in your Z83 form

A. The post you're applying for

B. Personal information

C. Contact details

D. Languages

E. Qualifications

F. Work experience

G. References

Declaration