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Nomination form for JUMP 2006/7

This form must be completed by the Line Manager who nominates the delegate for development and must be discussed with the Human Resource Generalist. (A) Delegate details First Name Surname Employee No : Riaz :Mohamed : 1007669 Gender: Male Female

Position : Lab Technician Business Unit : QA Lab Phone Number (w) : 011-4956930 (B) Line Manager Details First Name & Surname : Raj Pillay Position : Lab Manager Phone Number (w) : 011-4956673

Designated Group: Black Asian Coloured White

(C)

Programme Structure Study School 1 : Me Day 1 Day 2 Study School 2 : World Day 1 Day 2 Study School 3 : Me & We Day 1 Day 2 Study School 4 : Work Day 1 Day 2 Study School 5 : Me, We & Work 2 days : Programme Orientation : Time Management : Understanding Business Strategy Role of a Junior Manager : Self & Team Knowledge Conflict Management : Managing High Performing People Financial Management : Reflection and Integration

(D)

Motivate why you are nominating this individual. __________________________________________________________________ I foresee potential leadership growth in terms of the individuals performance. Has shown enthusiasm and taken up added functions in the work place._____________________________________________________________ __________________________________________________________________ ____

(E)

Identify 1-2 Opportunity areas in terms of the individuals development that you want to address by nominating him/her for EBLP. NOTE: This opportunity area will serve as the focus area for improvement back on the job and will serve as the measure to assess the value it adds to the business. ________________________________________________________ Meeting criterias in terms of the understanding and functioning of the Dept.(Meeting SLAs) ________________________________________________________B enefits of thinking out off the box and pro active ways of performing and help in developing others.___________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________

Please tick and confirm that this candidate has being identified as part of your Talent Pool. Please sign in support of this application Line Manager ______________________ _______________________ HRM

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