test | Bargain Books

PRIVATE AND CONFIDENTIAL

Please append a current photograph to this application

Application for Employment

(Please complete in your own handwriting,in ink)

PERSONAL INFORMATION

SURNAME

FIRST NAMES

S.A. IDENTITY NO

please attach a copy of your ID to this application

RESIDENTIAL ADDRESS

NATIONALITY STATUS, are you?

please supply certified copy of the appropriate documentation

SARS INCOME TAX NO

MARITAL STATUS

DEPENDANTS

CONTACTABLE TEL. NOs

Mobile no

CONTACT / SPOUSE NAME

Contact / Spouse No

E-MAIL ADDRESS

PREFERRED SPOKEN / WRITTEN LANGUAGE

DO YOU HAVE YOUR OWN TRANSPORT?

YES
NO

HAVE YOU MADE ANY PREVIOUS APPLICATIONS TO THE COMPANY ?

YES
No

NAMES OF RELATIVES EMPLOYED CURRENTLY OR PREVIOUSLY BY THE COMPANY?

HOW DID YOU HEAR ABOUT US?

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE?

YES
NO

DO YOU CONSENT TO BARGAIN BOOKS OBTAINING A CRIMINAL BACKGROUND CHECK?

YES
NO

If yes, please give details

HAVE YOU EVER REFERRED A MATTER TO THE CCMA FOR CONCILIATION/ARBITRATION?

YES
NO

If yes, please give details

ARE YOU CURRENTLY RECEIVING MONIES, FROM THE GOVERNMENT, IN RESPECT OF A SOCIAL AND/OR OTHER GRANT?

YES
NO

HAVE YOU EVER HAD A JUDGMENT (GARNISHEE ORDER, SECTION 58) REGISTERED AGAINST YOUR SALARY / WAGES?

YES
NO

DO YOU CONSENT TO BARGAIN BOOKS OBTAINING A CREDIT REFERENCE FROM A CREDIT RATING AGENCY?

YES
NO

ARE YOU CURRENTLY A MEMBER OF A UNION, OR HAVE YOU PREVIOUSLY BEEN A MEMBER OF A UNION?

YES
NO

EDUCATION

HIGH SCHOOL ATTENDED

Qualification achieved

Year

TERTIARY INSTITUTION ATTENDED

Diploma / Degree / Certificate attained

Tertiary institution

Year completed

If not completed, why?

COURSES

(List courses attended, relevant to this job application)

COURSE	PRESENTER	YEAR

PRESENT and PREVIOUS EMPLOYMENT DETAILS

(list present / most recent employment. It is important that all previous employment is included)

DATES (From) (To)	EMPLOYER	POSITION HELD	REASON FOR LEAVING (resignation,retire,retrenched,dismissed)	REFERENCES : MANAGER / SUPERVISOR (With contact no:)

HEALTH

Do you have a record of serious or recurring illness which shall prohibit you from performing lawful and / or reasonable work functions in a book retail environment?

YES
NO

If yes, please detail

Have you consulted a doctor, attended hospital or ever received any treatment for back problems, which may prohibit you from performing lawful and/or reasonable work functions in a book retail environment?

YES
NO

If yes, please detail

Have you ever suffered an occupational injury?

YES
NO

If yes, please detail

Are you a smoker?

YES
NO

Are you free of any form of addiction to alcohol or to any type of habit-forming drug, or any substance having a narcotic producing effect, socially or otherwise?

YES
NO

If ‘no’, please detail (more specifically where prescribed by a medical practitioner)

Should the position applied for, so require, do you consent to undergo a medical examination by a registered Medical Practitioner. Such test shall be for the purpose of assessing your current physical and mental ability, to perform the tasks required in the position applied for?

YES
NO

EMPLOYMENT EQUITY

Bargain Books is a designated employment equity company and in an effort to comply with the company’s five year employment equity plan, please complete the section below

Race

AFRICAN
COLOURED
INDIAN
WHITE

Gender

FEMALE
MALE

Disability

YES
NO

If ‘YES’, please provide details

EMPLOYMENT DESIRED

Position applied for

Specify hours available for each day of the week

Full Time
Part Time
Seasonal

Day

Mon	Tue	Wed	Thurs	Fri	Sat	Sun

Locations

e.g. Lephalale, Ballito, Canal Walk, Centurion

Current salary

please attach copy of latest payslip

Period of notice required to present employer

PSYCHOMETRIC/BASIC TRAITS INVENTORY TESTS

As part of this application for possible employment at Bargain Books, more specifically for management positions, do you consent to undergoing a psychometric test and / or a Basic Traits Inventory test. Such tests shall be administered by a qualified psychometrist?

YES
NO

The reports generated from such tests are confidential and shall remain the property of Bargain Books.

PRE-EMPLOYMENT INTEGRITY AND/ OR TRUTH VERIFICATION TEST

As part of this application for possible employment at Bargain Books, do you consent to undergoing a pre-employment integrity test (polygraph test)and/ or truth verification test (voice stress polygraph), conducted by a qualified Psycho physiologist and/ or voice stress examiner*

YES
NO

It is important to note that this test is used to test integrity and if you have been dishonest on this application form, or if you have benefitted from the theft of monies or goods in the past, deception shall be indicated and you shall not be considered for employment by Bargain Books. The result of such examination is confidential and shall remain the property of Bargain Books.

DECLARATION

“I certify that the foregoing is a full list of all former employers. I agree that Bargain Books and its servants and agents are at liberty to contact all or any such former employers for references about me. I accept that communications between Bargain Books and my former employers and replies from such employers are privileged and will not be disclosed to me under any circumstances. I declare that the above information is completed and correct. I understand that deliberate omissions or false information may lead to termination of any employment undertaken”

Signature*

Date