EMPLOYMENT APPLICATION

APPLICANT INFORMATION

Surname Name Title

Physical Address

City Province Postal Code

Contact Number E-mail Address

Alternative contact
Alternative contact number
name/relationship

Notice Period Current salary

YES NO Would you like to receive marketing YES NO
Willing to relocate?
material?
YES NO ID/Passport No. Work
Are you a South African Citizen
Permit
When necessary as an inherent job
Qualification check Criminal check Reference check Credit check Driver’s licence
requirement, do you give permission to do the
YES NO YES NO YES NO YES NO YES NO
following verifications/checks?
Have you ever been convicted of a criminal YES NO If yes, please give
offense? details
REFERENCES - PLEASE LIST THREE CONTACTABLE PROFESSIONAL REFERENCES

Full Name Designation

Company Contact Number ( )

Full Name Designation

Company Contact Number ( )

Full Name Designation

Company Contact Number ( )

REQUIRED DOCUMENTATION TO BE SUBMITTED WITH YOUR APPLICATION

 Copy of ID/Passport  Copy of current pay-slip

 Detailed CV  Copy of all Qualification Documentation
DISCLAIMER AND SIGNATURE
I hereby declare that all the above information given by me is a correct and truthful account of my career records (CV) and relevant details. This information and the
references referred to will be treated as confidential, and I hereby authorise that this information and references be released to the clients of MECS Africa, MECS
Growth and MECS Consulting (all t/a MECS).
Should any information furnished herein be incorrect and/or false, or should there be any non-disclosure of relevant information on my part, I hereby indemnify
MECS, and/or my previous employers against any action of whatsoever nature, which may arise in the event of my not obtaining a reference, referrals or a position
applied for.
I hereby authorize any of my former employers to furnish their record of my services, my reason for leaving their employ, together with all other information they
may have concerning me, whether on record or not.
I confirm having been made aware by MECS that should any referee refuse to give a reference, or decline to inform any reference or information in this application
form or on my curriculum vitae, MECS will be in a position, within their sole discretion, not to propose me for any position or contract.
I hereby authorise MECS to review and process any personal information provided by me in the course of my application for employment. I further confirm that
MECS may retain my personal information in their database for future matching on the understanding that my details may only be released to specific clients with my
prior consent.

Signed in…………………………………………………… on the…………………. day of………………………….. ……………20……….

Applicant's signature…………………………………… Interviewer's signature……………………………………..

Candidate Permission to Represent

 Office 213, First Floor
61 Katherine Street, Sandton, 2196
PO Box 783157, Sandton, 2146
Johannesburg, South Africa
Telephone: +27 11 218 8060
Facsimile: +27 11 218 8230
Website: www.mecs.co.za

<Insert Client Name>

<Insert Position Title>

I hereby authorise MECS to submit my CV to the above client for the specified position. I confirm that MECS is
the first agency to bring this position to my attention and that no other applications for this position have been
submitted by me:
a. directly to the company;
b. through any other recruitment agency (nor have I given such consent to any other agency);
c. directly via the company’s website/career portal.

Accordingly, MECS is appointed as my sole representative to introduce me to the above company for the
specified position. I therefore acknowledge that all communication relating to this application will be done via
MECS.

It is accepted that, in accordance with APSO principles, MECS will not submit my CV to any other company or for
any other position without my prior consent.

Given my above sole representation mandate I acknowledge that, should I accept an offer for the above
position through another agency, I may be liable to MECS for damages.

Signed in…………………………………………………… on the…………………. day of………………………….. ……………20……….

Candidate’s signature……………………………………

N.B.

We understand that many candidates are unable to print out, sign, scan and return these forms
timeously, unless you have an electronic signature.
In order to save time in submitting your application, kindly return the completed forms to us in
the Word format, and send us the signed and scanned forms at your earliest opportunity, please.
In the interim, we will consider your approval to be that you have completed the forms and
returned them to us via email.
Thank you.

MECS Africa (Pty) Ltd Registration No.1981/004566/07 MECS Growth (Pty) Ltd Registration No.1992/002387/07
Director: C.A. Gordon-Bennett Director: C.A. Gordon-Bennett