Ford Motor Company of Southern Africa

Please e-mail the completed application form with supporting documents to recrui14@ford.com
Section 1: Personal Information
South African Citizen (Yes or No)
ID No
Surname
First Name
Gender
Race
Date of Birth (DD/MM/YYYY)
Cell Number
Home Tel No
E-mail
Postal Address
Marital Status
Any Disability (Yes or No)
If "Yes", Please specify:
Are you currently employed (Yes or No)
Do you currently have a bursary? (Yes or No)
If "Yes", Please specify value & details:

Section 2: Academic Information

Name of institution you are current registered with:

Student No:

Hightest completed qualification(e.g Bcom- 3rd Year

Current year subjects registered for:
Subjects Results

Section 3: Supporting Documents Checklist

The following supporting documentation must accompany your application. Your application will not be considered
without the relevant documentation. Please mark with an X if included.
A copy of your full academic record to date
A copy of your ID

Section 5: Authorisation
If selected as part of the final group of candidates, I hereby undertake to undergo psychometric assessments. I
furthermore grant permission for my academic results to be confirmed with the institution.

Section 6: Declaration

I hereby declare that all the information provided in this form and the included documents are true and accurate

Applicant's signature Date