Application Form

NOTE: This information will be confidential and will not be shared with any third parties, apart from the application process which it is intended for.

Title

Full Name

Surname

ID Number

Cell Phone Number

Alternative number

Next of Kin Name

Next of Kin number

Race

Foreigner?

Yes No

Marital Status

Gender

Male Female

Disability

Do you have a drivers licence?

Yes No

Do you have your own vehicle?

Yes No

Tax number

School

Highest Grade Passed

Tertiary qualifications

Security

Do you consent to a polygraph test?

Yes No

Residential Address

Unit Number

Complex

Street Number

Street Name

Suburb/District

City/Town

Province

Postal Code

Were you previously employed by GP Retail?

Yes No

Are you willing to work nightshift?

Yes No

Are you willing to work in Cold Chain?

Yes No

Have you worked on a supervisor position?

Yes No

Have you worked on a management position?

Yes No

Do you have previous work experience?

Yes No

Date Ended

Do you have any experience in the following?

Do you have any of the following operational licences?

Employment History

Last Job

Company

Date Started

Position

Reason for Leaving

ID Document

Passed high school certificate / Matric Certificate

Bank account confirmation letter

19 Florence Ribeiro Avenue, Muckleneuk, Pretoria, South Africa

(012) 343-6859

Application Form

info@gpretail.co.za