Test | Bargain Books

Personal Information

SURNAME

FIRST NAMES

S.A. IDENTITY NO

(please attach a copy of your ID to this application)

RESIDENTIAL ADDRESS
Residential Address

NATIONALITY STATUS, are you?

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?
YesNo

NAMES OF RELATIVES EMPLOYED CURRENTLY OR PREVIOUSLY BY THE COMPANY?

HAVE YOU MADE ANY PREVIOUS APPLICATIONS TO THE COMPANY ?
YesNo
HOW DID YOU HEAR ABOUT US?

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE?
YesNo

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE?
YesNo

ARE YOU CURRENTLY RECEIVING MONIES, FROM THE GOVERNMENT, IN RESPECT OF A SOCIAL AND/OR OTHER GRANT?
YesNo
HAVE YOU EVER HAD A JUDGMENT (GARNISHEE ORDER, SECTION 58) REGISTERED AGAINST YOUR SALARY/WAGES
YesNo
DO YOU CONSENT TO BARGAIN BOOKS OBTAINING A CREDIT REFERENCE FROM A CREDIT RATING AGENCY?
YesNo
ARE YOU CURRENTLY A MEMBER OF A UNION, OR HAVE YOU PREVIOUSLY BEEN A MEMBER OF A UNION?
YesNo

Education

HIGH SCHOOL ATTENDED

Qualification achieved

Year

TERTIARY INSTITUTION ATTENDED

Diploma/Degree/Certificate attained

Year completed

If not completed, why?

COURSES
(List courses attended, relevant to this job application, one per line)

PRESENT and PREVIOUS EMPLOYMENT DETAILS
((listing present/most recent employment. It is important that all previous employment is included)

Education

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
YesNo

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
YesNo

Have you ever suffered an occupational injury?
YesNo

Are you a smoker?
YesNo

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
YesNo

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
YesNo

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

Gender

Disability
YesNo

EMPLOYMENT DESIRED

Position applied for?

Specify hours for each day of the week
Full TimePart TimeSeasonal

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Location
(please attach copy of latest payslip)

Current Salary

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.
YesNo

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 preemployment integrity test (polygraph test) and/ or truth verification test (voice stress polygraph), conducted by a qualified Psycho physiologist and/ or voice stress examiner. The result of such examination is confidential and shall remain the property of Bargain Books.
YesNo

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.

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”

SIGNED
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DATE