The quest form needs to be Department of Labour to select PUBLIC EMPLOYMENT SERVICES REGISTRATION OF AN OPPORTUNITY cmpeted with at requred information vo asiat the 1 most suitable candidates according tothe [Repletration Numbers {Company Registration Number (ony compete mati wptcove [PAVE Number jerome) [UIF Registration Number Preferred method of contact Telephone [Post | E-malx [Fax HS Cs = |Contact Name: a. eens) |Tel No: [City/Town faiternative tel no: Suburb at Postal code _—— Se SAE OPPORTUNITY: NO Formal Job] Apprenticeship —|_Leamership [intenship [Pres] SP Project [Omer [Opportanity Type (Opportunity Name Position Description ‘Spon DATE Tor applications [Oa] mim y Ty [Closing DATE for spplleations” a, a[m[m[yly Placement Type {rextor) ‘Bry Contract | a emnpOraey ‘CS months 326 months =zmonths | 12-28 ‘Other [Duration of opportunity | [Reference number (Crossaton) ‘Number of positions available x ‘OF OPPORTUNI treet Address. Province (City Town, Suburb Postal code CRITERIAT PERSONAL. REQUIREMENT CRITERIA, Tf this fs a REQUIREMENT please indicate and specify. Yes No_|Provines Yes io” [OTstriet Local municipality Yes No|Gity Town a No |Gender Preferences Yes Nio_[Age range Yes No [Equity Yes Nio__[Disabiity_ Yes No [Languages eS No_[Drivers Lisence Yes Tio [Public Drivers Permit Yes Wo [Hazardous Substances Permit “CRITERIA: QUALIFICATIONS REQUIREMENT CRITERIA, if this Is a REQUIREMENT, please Indicate or specify. Yes No_ [Highest schoo! level required { Yes No. [Subjects (Aeguhod tthe opprtunty) Yes No. [NOF Level required‘OPPORTUNITY: NOS rz nity Type __[Format Job] _Apprentcestin | Leamorship [inionahip [Projeai| Sir Project [Omer portunity Name jpostion Description -_ | Torappheations [41a] m]m] yy [closing BATE for applications epalninly man te) Se eet [et eermet [| tonsa | [poration of opportunity | __ 0-3 months ‘3-6 months @-l2months | 12-24months | Other Patarenee number (ops) [Bal Reference Number [Number of positions available [Maximum No of GVs tobe sent to Organisation [LOCATION OF OPPORTUNITY: [street Address [Province icy? Town rors fa = TERA PERSONAL REGUREENT CRIA Tse + REQUREMENT laa eee ae wea Yer No_|Province Yes [District Local municipality Yes, [citys Town Yes [Gender Preferences es [Age range Yes JEquity, [Disabinty [Languages [Drivers Lisence (Public Drivers Permit [Hezardous Substances Permit CRITERIA: QUALIFICATIONS CRITERIA, If this is a REQUIREMENT, please indicate or specify. [Highest school level required 8 / FFF | Fle 5125 |F Subjects (reins rine cpcstenty) INOF Level required Higher educational qualification Complete In Progress: Incomplete [Learning field required [Sub-learning field required eles] jae |e le OTHER: SELECTION CRITERIA: WORK EXPERIENCE CRITERIA I this is a REQUIREMENT, please indicate or specify [OFO Name or Occupational Code Years of experience NAME AND SURNAME DATE ‘SIGNATURE OF THE EMPLOYER DATE ‘SIGNATURE OF DOL OFFICIAL RECEIVING ‘APPLICATION. DATE