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Download the Driver Application Form - Driver Application forms

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Download the Driver Application Form - Driver Application forms Powered By Docstoc
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                                                                                                                                                                                 City Code:


                                                  GOOD FELLAS DRIVER APPLICATION
                                                                           PLEASE NOTE:
                                              All information will be treated confidentially.
  Please attach recent ID photo               You cannot apply if you do not have a valid driver's licence.
                                              Copies of ID and a driver's licence must be attached.                                                           Mr                 Mrs               Ms           Other
                                              This form will not be returned to you.
                                              ID cards will be worn by all drivers during shifts.                          Surname:
                                              You are expected to be capable of driving automatic vehicles
                                              All pay slips and wage reports are sent via e-mail ONLY.
                                                                                                                           All first names:

Position applying for:         Driver             Sweeper            Sweeper and driver

                                                                                                                           ID/Passport no:
Earliest commencement date:                                                                                                (Passport no. only if not SA citizen)


Application prompt:                                                                                                        Date of birth:
(How did you find out about this position?)


                                                                                                                           Place of birth:
Are you currently:        unemployed              Self-employed          Employed             (Emp No:                 )   (Town and country)


Please provide an e-mail address to ensure you receive your wage slips:                                                    Citizenship:
                                                                                                                           (Of which country are you a citizen?)                                                Date of citizenship:


Maiden surname:                                                                     Home language:                                                                                         Male:             female:
(if applicable)



Marital Status:                                                                                                   Number of dependants:                                             How long have you had your licence?


Are you able and comfortable driving expensive, manual or automatic transmission cars?                Yes         No                             Do you have your own vehicle                 Yes                    No


Residential                                                                               Postal                                                                                    work
address:                                                                                  address:                                                                                  address:




Telephone numbers:                 Home:                                                              Cell:                                                                                work:
                                              (         )                                                     (        )                                                                                (        )

Are you willing to purchase uniform (shirt/jacket) to be worn during all shifts?       Yes            No                        Ethnicity:       African:             Coloured:                    Indian:           White:

Declaration:
I hereby certify that all the information I gave in this form is true and correct in every respect. I understand that if I am offered employment and any of this information is found to be untrue, my employment may be terminated. If
I am offered employment, I understand that it would be subject to satisfactory references.

Signature:                                                                                         Date:                                                           Disability:      yes            no        If yes, nature of
                                                                                                                                                                                                                    disability:
                                                                                                                                           2




                                                                                                                                                      Is there anything else you should tell us about:
                                                  Personal Credential Verification                                                                    (illnesses, pregnancy, criminal record, serious medical conditions, family situations etc)
                                                  Permission and Indemnity Declaration
                                                 (012) 644-4000

                                          (A) Company Details ("Good Fellas")
                                                                                                                                                      Next of kin/Contact person:     (a family relation that does not live with you)
   Company Name: Good Fellas                                                      E-mail: drivers@gfellas.co.za
   Branch: ____________________                                                   Phone: 0861433552                                                                Name                         Contact number                          Relationship
   Agent: B Mjele / C Ladwig                                                      Fax: 041 581 7209

                                                      (B) Checks required
                                                                                                                                                                                                 Contact address
   Criminal by Name/ID                                                            Drivers License:

                                                  (C) Personal Information
                                                                                                                                                      Bank details:
   Surname:              ………………………………………………………………………………………………..                                                                                       Name of bank                                                    Type of account

   First Names:              ……………………………………………………………………………………………

   Maiden name:              ……………………………………………………………………………………………                                                                                                                             Name of account holder


   ID No:
                                                                                                                                                      Branch code                   Branch Name                  Account number

   Passport No:

                                                  (D) Indemnity Declaration
I hereby authorize Good Fellas’s duly authorized verification agent, Managed Integrity Evaluation (Pty) Limited                                       Tax Declaration: (Please tick the appropriate block)
(“Kroll”), to forward any personal information as well as any information that I have provided in support of my application to
verification information suppliers acting on behalf of Kroll (including but not limited to the South African Police Services,                         I, ……………………………………………….……………....…..(full name and surname)
the Government of the RSA, and any educational, training, credit bureau and fraud prevention organizations) for the purpose
of verifying my personal credentials and records.                                                                                                     Identity number: ……...…………………..……………………….. Declare the following:
Authorized credential verification types include, but are not limited to, criminal record, drivers’ license, and ID verification checks.
I authorize Kroll’s verification information suppliers to furnish information regarding my credentials, whether claimed or not, to                    Good Fellas will be my only employer                       or
Kroll and Good Fellas. I unconditionally indemnify Kroll and its verification information suppliers against any liability that may
result from furnishing information in this regard.                                                                                                    I will be working for Good Fellas AS WELL AS another employer
I understand that it is a condition of MIE’s verification information suppliers that this information is furnished by them solely
for the purposes of my proposed / continuation of employment via the offices of Good Fellas and that any information that is                          I understand that should I not submit a written declaration to Good Fellas confirming
furnished to Good Fellas and Kroll will be disclosed to me before a decision is made on my continued employment or                                    either of the above statements, I will be deemed NOT to be standard employment.
application for employment.
                                                                                                                                                      I have a SARS registered tax number:               yes:              no:
Candidate signature:
                                                                                                                                                      Income tax reference number*:
                                              Date: …..….
…………….....…………..……………………..…………………………...…………………………………… / ………. / ………..

Agent signature:                                                                                                                                      * Should you not have a tax number, Good Fellas will supply you with one.

                                         Date: ……… /
………..………………..……………………………………………………….………………………………….. ……….. / …………                                                                                       Applicant
                                                                                                                                                      Signature:


Declaration:
    I hereby certify that all the information I gave in this form is true and correct in every respect. I understand that if I am offered employment and any of this information is found to be untrue, my employment may be terminated. If I am offered
                                                                                           employment, I understand that it would be subject to satisfactory references.

				
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