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Midyaal Recruitment Candidate Questionnaire Please complete the following questions, to help assist with your apolication. Name _Thernas _Sebalsia_ Number: OlOSIZ LI TOORS ee + Male [3%] Female Are you interested in full-time employment or part time? [rad | Pantin ‘* What is your notice period? 2Weers iment] ped eee © Whet are your salary expectations? Annual Salary: V2 Other Perks: @ Where do you reside? Gauteng > Seboken, © Next of kin name and number? [imnckaleo ees a-O7S TOE 371F ‘© Preferred position / Position applying for? Operations Coalrelle © Are you currently going for any other interviews? _No * Are you eligible to work in South Africa? Are you willing to relocate? If so, how far? X- ovine SOK * Are you available/willing to travel for work? LIPS) ‘* Are you willing to undertake a drug test as part of this hiring process? ‘* Are you willing to undergo a background check as part of the hiring process? Rib Midvaal Recruitment * Please list your top 5 computer skills [eg Micre soft Office | 2 Ernait TMenagem cat 3) + | eee izadi 5) ping ees * List all software you have used. ‘© Whet Code driver's license do youhave? ~Codero * Do you have your own transport? * Are you busy with any courses currently? * Do you have any certificates? How many years’ experience in this sector? rome 4 * Reason for looking at new employment? = lenge * Whetis your relationship status? rome T * Do you have any dependents? + _Alllanguages spoken Home Language: De: A Ege By completing the questionnaire, you hereby grant Midvaal Recruitment permission to use your personal information in line with the Provisions of the Protection of Personal Information Act.

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