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Application Form

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0% found this document useful (0 votes)
29 views6 pages

Application Form

Uploaded by

thefamily790
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE

Annexure “A”

SOUTH AFRICAN POLICE SERVICE


APPLICATION FOR ADVERTISED POST FOR PROMOTION: PHASE 202425-1

IMPORTANT NOTICE (READ BEFORE YOU COMPLETE APPLICATION)

• Read SSSBC Agreement 3 of 2011 and National Instruction 3 of 2015 (Promotion and Grade Progression of Employees of the
Service f rom post level 1 to level 12 and f rom Constable up to Colonel).
• Application must be completed, signed and dated by applicant .
• Read and comply with the advertisement prescripts.
• An applicant whose promotion will enhance representivity may receive pref erence.
• Note restrictions in advertisement f or maximum number of posts you may apply f or.
• A separate application must be submitted to the indicated address in respect of every post applied f or.
• Particulars of post(s) you apply f or must be correctly f urnished .
• Certif icate by Commander must be completed and signed.
• Note the closing date. Ensure that your application reach the relevant of f ice bef ore or on the closing date.
• Applications which do not comply with the prescripts / late applications will not be considered.

APPLICANT FOR CONSIDERATION FOR PROMOTION

PERSAL NUMBER CURRENT RANK SURNAME AND INITIALS

DATE PROMOTED / DATE APPOINTED IN THE IF APPLICABLE, MENTION DATE OF


APPOINTED TO SERVICE TERMINATION OF SERVICE AND DATE OF
CURRENT RANK RE-ENLISTMENT

POST FOR WHICH YOU APPLY (NOTE RESTRICTION ON MAXIMUM NUMBER IN ADVERTISEMENT – A
SEPARATE APPLICATION FORM MUST BE COMPLETED AND SUBMITTED FOR EVERY POST APPLIED
FOR)
POST
REFERENCE PROVINCE COMPONENT SUB COMPONENT RANK / JOB TITLE

PERSONAL PARTICULARS

CURRENT LOCATION

CURRENT POST TITLE

DATE OF BIRTH

DO YOU HAVE A VALID YES NO DATE OF ISSUE


DRIVERS’ LICENSE?

Initials and Surname of Applicant: __________________________________________ Page 1 of 6


POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE
CONTACT TELEPHONE NUMBERS

CELL / TEL NUMBER WORK TEL NUMBER AND AREA CODE E-MAIL ADDRESS

AFRICAN M F WHITE M F COLOURED M F INDIAN M F

ARE YOU A PERSON WITH A DISABILITY? YES NO

IF YES, MENTION DISABILITY

ARE YOU CURRENTLY BEING CONSIDERED FOR RETIREMENT, DISCHARGE, MEDICALLY UNFITNESS? YES NO

IF YES, FURNISH FULL INFORMATION

IS THERE ANY CRIMINAL OR DISCIPLINARY INVESTIGATIONS OR HEARINGS PENDING AGAINST YOU? [IF YES NO
YES, SPECIFY FULL PARTICULARS OF ALL SUCH INVESTIGATIONS]

HAVE YOU BEEN CONVICTED OF ANY CRIMINAL OR DISCIPLINARY OFFENCE(S ) DURING THE PERIOD OF YES NO
YOUR CURRENT RANK / POST LEVEL? (IF YES, SPECIFY FULL PARTICULARS OF ALL CRIMINA L
CONVICTIONS AND VALID DISCIPLINARY FINDINGS OF MISCONDUCT.)

DATE OF CONVICTION OR OFFENCE SENTENCE/SANCTION


SANCTION

ARE YOU CURRENTLY SUSPENDED? (IF YES, SPECIFY FULL PARTICULARS) YES NO

IS THERE ANYTHING THAT MAY PREVENT YOU FROM SERVING FOR A PERIOD OF AT LEAST 24 MONTHS YES NO
IN THE POST(S) APPLIED FOR, SHOULD YOU BE PROMOTED? (IF YES, SPECIFY FULL PARTICULARS)

Initials and Surname of Applicant: __________________________________________ Page 2 of 6


POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE

CAREER DEVELOPMENT
(Training/Courses - successfully completed)
( Indicate duration of course - number of days )

YEAR INSTITUTION COURSE PARTICULARS DURATION OF COURSE


(NO. OF DAYS)

QUALIFICATIONS

HIGHEST SCHOOL STANDARD PASSED YEAR


INDICATE FIELD DURATION OF
TERTIARY QUALIFICATION(S ) NAME OF INSTITUTION OF STUDY OF QUALIFICATION YEAR
SUCCESSFULLY COMPLETED COMPLETED COMPLETED
(STUDY PERIOD)
QUALIFICATION

CURRENT STUDIES (INDICATE FIELD OF STUDY)

CAREER HISTORY

GIVE A DESCRIPTION, OF THE LAST THREE (3) POSTS (INCLUDING YOUR CURRENT POST) YOU HELD/ARE HOLDING, THE PERIOD S
THAT YOU SERVED IN THEM AS WELL AS THE REASONS FOR LEAVING THE PREVIOUS POST(S)

PERIOD (FROM _ TO _) POST TITLE HELD DUTIES PERFORMED

Initials and Surname of Applicant: __________________________________________ Page 3 of 6


POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE
PERIOD (FROM _ TO _) POST TITLE HELD DUTIES PERFORMED

Initials and Surname of Applicant: __________________________________________ Page 4 of 6


POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE
PERIOD (FROM _ TO _) POST TITLE HELD DUTIES PERFORMED

Initials and Surname of Applicant: __________________________________________ Page 5 of 6


POST PROMOTIONS: 2024/2025 FINANCIAL YEAR: SOUTH AFRICAN POLICE SERVICE

CERTIFICATE BY APPLICANT

I TAKE NOTE THAT -


• IF I AM OFFERED A POST AND I DO NOT TAKE UP THE POST BY 1 DECEMBER 2024 I WILL NOT BE PROMOTED;
• IF MY APPLICATION IS SUCCESSFUL ON THE GROUND OF THE INFORMATION SUPPLIED BY ME AND IT LATE R
TRANSPIRES THAT THE INFORMATION IS NOT CORRECT, MY PROMOTION WILL BE RECONSIDERED.

I HEREBY DECLARE THAT -


• THE INFORMATION GIVEN IN THIS FORM IS TRUE AND CORRECT.

DATE: ....................................................... .........................................................................


Signature: APPLICANT

PLACE: ...............................................

CERTIFICATE BY COMMANDER

I HEREBY CERTIFY THAT

• TO MY KNOWLEDGE THE APPLICANT HAS DECLARED ALL PENDING CRIMINAL AND DISCIPLINARY INVESTIGATI ONS
OR HEARINGS AND ALL CRIMINAL CONVICTIONS AND VALID DISCIPLINARY FINDINGS OF MISCONDUCT IN HIS/HE R
CURRENT RANK/POST LEVEL

• ANNUAL PEP PERFORMANCE ASSESSMENT RATING (2023/2024) ALLOCATED TO THE APPLICANT

Indicate mark (5,4,3,2 or 1) (not percentage) Date of assessment


2023/2024 Annual Rating

• THE APPLICANT IS SUITABLE AND MEETS THE PROMOTION REQUIREMENTS YES NO

IF NO PROVIDE REASONS

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

DATE: ....................................................... .........................................................................


Signature: COMMANDER

PLACE: ........................................................ RANK: ...............................................................

NAME: ..............................................................

NOTED / COMMENTS:

_________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

DATE: ....................................................... .........................................................................................


Signature: APPLICANT

Initials and Surname of Applicant: __________________________________________ Page 6 of 6

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