City of Tshwane Municipality Job Application Form

1. Application for the Expanded Public Works Programme Database Surname Full name Citizenship Identity number Passport number Permit valid to Gender Race Date of birth Male Female African Coloured House number: Street name: Section/Block/Unit/Settlement: Suburb/Township: Ward White Indian Residential (home) address Ward and region (in which you stay) Contact phone number Alternative contact number Are you disabled or do you suffer from a medical condition? If your answer is YES to the above question, please indicate the type of disability or medical condition. Are you currently on the indigent register? Skills set (tick no more than six skills) Types •Carpenter’s assistant •Painter’s assistant •Bricklayer’s assistant •Electrical assistant •General financial management •Home-based care worker •Peer educator •Driver (PrDP and Code 10/11 licence) •Childcare worker •Homework assistant •Grass cutter Region YES NO YES NO Tick (√) Types Tick (√) •Car guard •Data capturer •General administration •Sport coach •Sport referee •Sport linesman •Sport officiator •Lifeguard •Disc jockey (DJ) •Poet •Dancer

2. •Caretaker •Car washer •Garden services •Landscaper •Grave digger •Cleaner •Litter picker •Marshall •Musician The following documents must be attached to this application, otherwise it will not be accepted: •Proof of residence in the form of a municipal services account statement, bank account statement as issued by a bank or a retail account showing the home address •A copy of the applicant's identity document FOR OFFICIAL PURPOSES ONLY Name of City of Tshwane official: Signature: Date: •Choreographer •Costume designer •Seamstress •Art adjudicator •Sound operator •Performer •Master of ceremony (MC) •Tour guide Are all relevant documents attached? Yes No Click Here to View Latest Jobs Join For daily Job Updates A capital city that works for all its people. www.tshwane.gov.za