- GP Retail Operations

(012)343-6859

Application Form

Personal Details

Fullname:
Surname:
ID Number:
Gender	MaleFemale
Cell Phone number:
Email Address:
Do you have a drivers license?	YesNo
Do you have your own vehicle?	YesNo

Qualifications

School:
Highest Grade Passed:
Post Matric:

Details:

Security

Do you have a criminal Record?

YesNo

If yes, state details:

Do you have a problem with taking a polygraph Test?

YesNo

Residential Area

Province:
Town/City:
Area:
Physical Address:

Extra Info

Are you willing to work nightshift?	YesNo
Are you willing to work in Cold Chain?	YesNo
Have you worked on a supervisor position	YesNo
Have you worked on a management position	YesNo

Previous Work History

Do you have previous work experience

YesNo

Do you have any experience in the following:
Do you have any of the following operational licenses:

Please complete below:

Last job:

Industry:
Organisation:
Duration	to
Position
Reason for leaving:

Second last job:

Industry:
Organisation:
Duration	to
Position
Reason for leaving:

Third last job

Industry:
Organisation:
Duration	to
Position
Reason for leaving: