Candidate Indemnity Form – ZyberFox

Name:
Surname:
ID/Passport number: Please attach a copy of your Identity Document
SA Citizen: Yes No

VISA: Copy of Work Permit/Critical Skills Visa/Permanent Residency

 If Critical skills VISA, please advise if it's a personal CSV or CSV under a company? If CSV under a company,
then we will require a formal letter from the company advising that you are allowed to contract to other
companies while using the same CSV, or a Release Letter.
 If Renewal of CSV - please supply a copy of application renewal.
Email:

Contact Number:
Address: address of residence
Vaccination Status: Covid 19 Vaccine
Have you been Vaccinated: Yes No

Are you open to getting vaccinated?

Please provide a copy of e-Vaccine Certificate.
Credit/Crim Checks all clear? Anything to disclose.
Education / Qualification: Please attach copies of your educational qualifications i.e., matric certificate, University
degree/diploma etc. Including Statement of Results
Years of Experience: years’ experience in role/industry
Professional Certifications: Please attach copies of your Skills qualifications i.e., PMP, ITIL, Agile, Scrum, AWS,
OpenShift etc.
Up-to-date CV: Please attach your latest up to date cv
Copy of current Salary details: please attach copy of current Payslip
CTC: Annual Amount:
Monthly Amount:
Hourly Rate:
Current Benefits: (Medical Aid, Pension, Company Perks, Allowances, Bonuses):
Expected Rate/CTC: Market related based on experience (Generally 10%)
Availability: date to start
Reason for leaving current company:
References: please provide at least 2 references (name, surname, designation, contact number)
**NB: To avoid duplicating efforts kindly inform us if you are currently engaged in interviews with other companies.
If that is the case, please specify the stages you are in so that we can prioritize accordingly.