Republic of South Africa Z** (**/******)
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WHAT IS THE PURPOSE OF THIS FORM
To assist a government department in
selecting a person for an advertised post.
This form may be used to identify candidates
to be interviewed. You need to fill in all
sections of this form completely, accurately
and legibly. This will help to process your
application fairly.
WHO SHOULD COMPLETE THIS FORM
Only persons wishing to apply for an
advertised position in a government
department.
ADDITIONAL INFORMATION
This form requires basic information.
Candidates who are selected for interviews
will be requested to furnish additional certified
information that may be required to make a
final selection.
SPECIAL NOTES
1 – All information will be treated with the
strictest confidentiality and will not be
disclosed or used for any other purpose than
to assess the suitability of a person, except in
so far as it may be required and permitted by
law. Your personal details must correspond
with the details in your ID or passport.
2 – Passport number in the case of non-
South Africans.
3 – This information is required to enable the
department to comply with the Employment
Equity Act, 1998.
4 – This information will only be taken into
account if it directly relates to the
requirements of the position.
5- The Executive Authority shall consider the
criminal record (s) against the nature of the
job functions in line with internal information
security and disciplinary code.
6- The applicant may submit additional
information separately where the space
provided is not sufficient.
7- Departments must accept certified
documents that accompany the
application(s) with certification that is up
to 6 months, unless the advert prescribes
a longer period.
A. THE ADVERTISED POST (All sections of this form are compulsory) Position for which you are applying (Senior
Grants Administration)
Department where the position was advertised
SASSA
Reference number (REF NO: SAS FS
1071/23)
If you are offered the position, when can you
start OR how much notice must you serve
with your current employer?
Immediately
B. PERSONAL INFORMATION1
Surname and Full names
Mashaba
Richard Akani
Date of
Birth
21/06/91
Identity
Number
9 1 0 6 2 1 5 6 8 7 0 8 4
Passport2
number
Race3 African X White Coloured Indian Other
Gender3 Female Male
X
Do you have a disability? Yes No X
Are you a South African citizen? Yes
X
No
If no, what is your nationality?
Do you have a valid work permit? (only if non-South African) Yes No Have you been convicted or found guilty of a criminal offence
(including an admission of guilt)? 5
If yes (provide the details)
Yes No X
Do you have any pending criminal case against you? If yes, (provide the details)5
Yes No X
Have you ever been dismissed for misconduct from the Public Service?4
Yes No X
If yes (provide the details)6
Do you have any pending disciplinary case against you? If yes, (provide the details)
Yes No X
Have you resigned from a recent job pending any disciplinary proceeding against you? 4
If yes, (please note that the provisions of the Public Service Act shall apply).
Yes No X
Have you been discharged or retired from the Public Service on grounds of Ill-health or on condition that your cannot be re- employed?4
Yes No X
Are you conducting business with the State or are you a Director of a Public or Private company conducting business with the State?6 If yes, (provide the details)6
Yes No X
In the event that you are employed in the Public Service, will you immediately relinquish such business interests? Yes No X
Please specify the total number of years of experience you have
Private
Sector
Public Sector
8
If your profession or occupation requires official registration, provide date and particulars of registration
Date Reg. No
Effective 01 January 2021
APPLICATION FOR EMPLOYMENT
G.P.S 81/971431
Z83 (81/971431)
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8- Each application for employment form
must be duly signed and initialed by the
applicant. Failure to sign this form may lead
to disqualification of the application during
the selection process.
C. CONTACT DETAILS AND MEDIUM OF COMMUNICATIONS
Preferred language for correspondence English
Method for
correspondence
Post E-mail X Fax Telephone
Contact details (in
terms of the above)
adxkok@r.postjobfree.com
D. SOUTH AFRICAN OFFICIAL LANGUAGE PROFICIENCY – state ‘good’, ‘fair’, or ‘poor’ Languages (specify)
English IsiZulu Sesotho Venda Xhosa
Speak Good Good Good Good Fair
Write or read Good Good Good Good Poor
E. FORMAL QUALIFICATION7 (from highest to the lowest) Name of School/Technical College Name of qualification obtained Year obtained Vaal University of Technology Bachelor’s Degree in Business Administration 2021 Vaal University of Technology Diploma in Office Management and Technology 2017 Current study (institution and qualification):
F. WORK EXPERIENCE (Also attach a detailed CV)6
Employer (including current
employer)
Vaal University of Technology
Post held
Administrator
From To Reason for leaving
New opportunities
04
15
12
22
End of the contract
If you were previously employed in the Public Service, is there any condition that prevents your re- appointment
Yes No X
If yes, Provide the name of the previous employing department and indicate the nature of the condition.
G. REFERENCES
Name Relationship to you Tel. No. (office hours)
Prof C. Mafini Director 016-***-****/ 083-***-**** Dr FE Mahomed Director 082-***-****
Prof BA Mokoena Director 016-***-**** / 074-******* DECLARATION
I declare that all the information provided (including any attachments) is complete and correct to the best of my knowledge. I understand that any false information provided will result in my application being disqualified or disciplinary action taken against me if I am appointed: Signature:
Date: 22/01/2023
1
CURRICULUM VITAE OF RICHARD AKANI MASHABA
adxkok@r.postjobfree.com
8712/19 Sisonke Road
Ivory Park ext. 9
MIDRAND
1685
PERSONAL DETAILS
Surname Mashaba
Full Names Richard Akani
Id Number 910**********
Gender Male
Driver’s License Code 10 C1
Home Language Tsonga
Health status Good
Other Languages English, IsiZulu, Sesotho, and Tshivenda. EXPERIENCE
RESPONSIBILITIES
ADMINISTRATOR
VAAL UNIVERSITY OF TECHNOLOGY
2015 - 2023 (8 years of working experience)
Proof of filing, Diary management, typing/distribution/follow up.
Preparation of reports, communication, Budget and finance.
Meeting scheduling, Minutes and action list, Proof of reports
Record keeping and ongoing consultation reports
Oversee general Administration operation of the office of the Dean.
Coordinate travel arrangement
PERFORMANCE OBJECTIVE / GOALS
Handle all the administration and office management matters regarding faculty research ethics.
Draft the agenda for the upcoming FREC meeting. Take minutes of the FREC meeting activities Compile and distribute the minutes of the meeting to the FREC members within a reasonable time after the meeting; Conduct follow-ups with the relevant FREC members regarding all issues raised at the meeting.
Provide information and/or advice to staff and students regarding the submission of documents to the FREC.
EDUCATION
B-TECH
2
SUBJECT PASSED
Human Resources Management
Logistics Management
Financial Management
Marketing Management
Project Management
Research Methodology
Technology Management
DIPLOMA
SUBJECT PASSED
Vaal University of Technology
VANDERBILPARK CAMPUS
Diploma in Office Management and Technology
2012 – 2016
Business Administration
Information Administration (Practical)
Information Administration (Theory)
Office Management and Technology Practice 1 (CL)
Office Management and Technology Practice 1 (WR
ICT Skills
Applied Language Skills (EDL)
Applied Communication Skills
Legal Practice
Personnel Management
MATRIC INFORMATION
Shitlhangoma Secondary School
Grade 12
2010
SUBJECT PASSED
English
Geographical studies
Mathematics Literacy
Business studies
Agricultural Sciences
Life Orientation
Xitsonga
SKILLS
Microsoft office and outlook
Strong results focus, Attention to details
Written and verbal communication
Attention to detail and good work ethics
Multitasking ability, strong computer literacy
Proper Etiquette, computer literate
3
Problem-handling
Research skills
Adaptability & Self-motivated Skills
REFERENCES
Dr F.E. Mahomed – Lecturer (Human Resources Management) VAAL UNIVERSITY OF TECHNOLOGY
Prof B.A. Mokoena – Research Professor
VAAL UNIVERSITY OF TECHNOLOGY
Prof C. Mafini - Head of the Logistics Department
VAAL UNIVERSITY OF TECHNOLOGY
Ms. S.M. Mahlaela - Research Administrator
VAAL UNIVERSITY OF TECHNOLOGY