The Msunduzi Municipality

Private Bag 321

PIETERMARITZBURG
3201
Telephone: 033 3923 000
personnel@msunduzi.gov.za
www.msunduzi.gov.za

APPLICATION FOR EMPLOYMENT

NOTES TO APPLICANT
 Thank-you for your interest in seeking employment with us
 Complete the form in your own handwriting in block letters and in black ink
 Mark appropriate answers with an “x” where applicable
 For the purpose of the Employment Equity Act (1998) all statistical details should be completed
 Please attach certified copies of the following documents together with this application form and indicate which items you have
included by placing an “x” in the space provided

ID Book/ Passport Drivers license

Grade 12 Exam Certificate Certificate of service

Testimonials/References Other

Degree, Diploma or other educational certificates Total number of Pages attached:

POST DETAILS
Position Applied for:

Business Unit:

Date of Advert:

Vacancy Number:

PERSONAL DETAILS
Name of Candidate: Nkululeko Zamokuhle Dladla

Postal Address: Po Box 2397

Empangeni Code: 3880

Residential Address: unit 9 Coronation Garden, Coronation Road

Scottsville Code: 3901

Telephone: 0842978882 (h) 0338459000 (w) 0718891251 (c)

E-mail Address: nk.dladla@gmail.com

Date of Birth: 16 June 1989 Citizenship: South African

ID Number: 8906165672080 Passport Number:

Gender: Male Race: Black Disabled: Yes No X ✔

If yes, furnish particulars

Drivers license: Yes ✔ No Period: 9 years

Code: Code 10 Vehicle Restrictions: PDP: Yes No ✔

PDP Code (G,P,D): Expiry Date:

Language proficiency. In the schedule below, indicate proficiency as “Good”, “Fair”, “Poor” or “None”
Language: Read Write Speak

English: Excellent Excellent Excellent

Zulu: Good Good Excellent

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 Other:

EDUCATION AND QUALIFICATIONS

Highest Grade: 12

Name of School: Empangeni High School

Town/ City: Empangeni
School Education
1. English
2. Afrikaans Period From:

Subjects
2007
3. Maths
4. Accounting
5. Physical science Period To: 2008
6. Computer Application Technology

Name of Institution: Durban University Of Technology

Qualification: National Diploma

3. 1.Tertiary Education 1. Reinforced Concrete Design
(University/Technikon/ Hydraulics and Hydrology
2. Period From: 2009
Subjects

College) 3. Documentation
4. Structural Analysis
5. Geotechnical design Period To: 2013
6. Transportation design

Name of Institution: Durban University Of Technology

Qualification: Degree of Bachelor of Technology in Engineering : Civil Urban Engineering

4. 2.Tertiary Education 1. Pavement Technology
(University/Technikon/ 2. Project Management Period From: 2014
Subjects

College) 3. Reticulation managemenet and design

4. Transport Technology
5. Geometrics Design Period To: 2015
6. Solid Waste Management

Name of Institution:

Qualification:
3. Tertiary Education 1.
(University/Technikon/ 2. Period From:
Subjects

College) 3.
4.
5. Period To:
6.

4. Other

TRAINING
This includes government training schemes, apprenticeships, short courses

Course Title Organisation From To

Fist Aid course level 1
SHE training

SARF

MEMBERSHIP OF PROFESSIONAL INSTITUTES

Please indicate whether membership is by examination or qualification

Institute Level of Membership From To

SIACE Member

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 ECSA Candidate
EXPERIENCE (Start with Latest)

1. Company Name: Durban University of Tehnology

Position: Structures and Geotech Lab Technician Date from: 2014 Date to: 2019
Responsibilities: Lab management, Preparing of Applied mechanics projects, Preparing of Theory of Structure projects, Preparing of
Structural Analysis projects, Preparing of Geotech projectsOrdering of new Lab equipment, Preparing monthly
reports, repairing of damaged property, tutoring. Lectured construction methods for engineers, setting of test and
assignments. Work as a Health and safety officer, Construction site visit and reporting on it.

References: Tom McKune Contact Details:

Basic Salary: (Monthly)

Reasons for leaving: Other Benefits:

2. Company Name: Henwood and Nxumalo Consulting Engineers

Position: Junior technician Date from: 2011 Date to: 2012

Responsibilities: Road construction, Road side street light installation. Traffic control, Report preparation, Prepared bill of
quantities for subcontractors, Prepared payment certificate, Reporting on contractors and service providers
performance with regards to quality, cost and time. Attended site meetings and taking of minutes. Storm water
pipe supervisor, Installation of pipe report preparation. Assisted in the preliminary stages of EPWP program
and trainingAdministrated Documents
References: Vernon Valker Contact Details:

Basic Salary: R12000 (Monthly) 144000

Reasons for leaving: Studying Other Benefits: Traveling Allowance

3. Company Name:

Position: Date from: Date to:

Responsibilities:

References: Contact Details:

Basic Salary: (Monthly)

Reasons for leaving: Other Benefits:

INDICATE WHY YOU QUALIFY FOR THE POST IN RELATION TO THE KPA’S DETAILED IN THE ADVERT?
Please mention any specific skills or experience that meets the requirements of the job description and person
specification. These skills may have been gained in relation to your current or previous employment, education,
training, domestic activities, voluntary work or leisure interests (Use separate sheet if necessary)

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 GENERAL
Are actively involved in a leadership position within a political party? Yes No ✔
Are any of your relatives or acquaintances employed by the Council or a Councilor? Yes No ✔
If “Yes”, state Name, Department & Relationship:

When can you assume duty? Need to serve 30 day notice

Do you have contractual obligation towards your present employer? If so, furnish particulars:

Have you ever been: Convicted of a criminal offence? Yes No ✔

Is a criminal case pending against you? Yes No ✔
Dismissed from employment? Yes No ✔
Have you ever terminated your employment after receiving a notice of misconduct? Yes No ✔
If yes in any of the above, state particulars on a separate sheet
Do you have any business interests? If Yes, please list these Yes No ✔

State particulars concerning your health and ability to perform the specific work which you think Council should be
aware of.

FOR INFORMATION

 Any person canvassing with a view to being appointed to a post in the council’s service shall not be considered
for appointment and will be disqualified.

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 DECLARATION
I declare that the above particulars are to the best of my knowledge true and correct and I understand and accept that
if I am appointed, my appointment will be subject to the provisions of the Conditions of Service and the policies of the
Council and any other applicable legislation. I further understand and agree that any false or material
misrepresentation in my application will disqualify me from consideration for appointment, or where so appointed,
will result in disciplinary steps which could lead to my dismissal. I also understand that in addition to such
disciplinary steps, the Municipality reserves the right to take other legal steps against me including the institution of
criminal and civil proceedings.

Signature of Applicant Date:

Please note that your application will NOT be considered if all the information is not inserted in the areas provided;
and if this last page is not signed.

Was this form completed by yourself: Yes ✔ No

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