STAFF INFORMATION FORM

1. PERSONAL INFORMATION
SURNAME: FIRST NAME/S:
KNOW AS/ PREFFERED NAME:
DATE OF BIRTH (DD-MM-YYYY) ID NUMBER:
MARITIAL STATUS: SPOUSE'S NAME:
HOME LANGUAGE: DRIVER'S LICENCE (Y/N):
CULTURAL GROUP (PLEASE TICK ONE): GENDER (PLEASE TICK RELEVANT BOX):

AFRICAN INDIAN MALE

COLOURED WHITE FEMALE

RESIDENTIAL ADDRESS: POSTAL ADDRESS:

TELEHONE (H): TELEPHONE (W):

2. WHO SHOULD WE CONTACT IN AN EMERGENCY

FULL NAME AND SURNAME:

RELATIONSHIP:
RESIDENTIAL ADDRESS: CONTACT NUMBERS
HOME:
WORK :
CELLPHONE:
3.BANKING DETAILS: (Proof of banking details to be attached)

BANK: ACCOUNT TYPE:

BRANCH: BRANCH CODE:

ACCOUNT NUMBER:

4. Tax Number: