INTERNSHIP PROGRAMME APPLICATION FORM

PURPOSE
The purpose of this application form is to assist the merSETA in selecting, interviewing and placing the
applicant for an advertised internship programme. The applicants must fill the form fully, accurately as
possible and legibly. Failure to do so will lead to disqualification.

1. ADVERTISED POST
Unit: Reference Number
(the unit in which the position (As stated in the advert)
is located)

2. PERSONAL DETAILS (Please complete or tick the relevant box)

Title Surname First Names

Identity Number Gender M F

Race African Coloured Indian White

Yes (Please provide details) No

Do you have a Physical Disability?

Are you a South African Citizen? Yes No

(If no, what is your nationality?)

Yes No
Do you have a valid work permit? No

Yes No
Have you ever been convicted of a criminal offence?

Have you ever been employed before? Yes No Yes (Please provide details)

3. CONTACT DETAILS
Postal address

Email address

Telephone number Cellphone number

LEADERS IN CLOSING THE SKILLS GAP

4. QUALIFICATIONS
Year Graduated School/Institution/College/University Highest Qualification Obtained
(grade/degrees/diplomas/certificates)

5. REFERENCES (Please provide names of three contactable references)

Name Relationship to you Tel. No. (office hours)

6. FAMILY DECLARATION
Do you have a relative working for the merSETA? Yes No
(If yes state the name and relationship)

Name Relationship to you

IMPORTANT INFORMATION:
> Incomplete, illegible and inaccurate applications will be disqualified
> Only applications forms will be considered. Other documentation such as CVs and letters will be ignored

7. APPLICATIONS WITHOUT THE REQUIRED DOCUMENTATION WILL BE DISQUALIFIED.

8. WHY SHOULD WE SELECT YOU, ABOVE ALL OTHER APPLICANTS?

9. APPLICANT’S DECLARATION
I declare that the information I have provided in this application form is, to the best of my knowledge, correct and complete. I understand that any false
or willfully suppressed information will lead to my application being disqualified.

Signature Date

LEADERS IN CLOSING THE SKILLS GAP