Employee Information Form

Employee Details
Name*
Savannah Olivier
ID / Passport Number
Physical Disability*
Nationality*
Race*
Gender*
- Male
- Female
Number*
0790669452
Email*

[email protected]
Address*
3 Palm street Brackendowns Alberton Gauteng 1448 Country
Next of Kin Details
Name*
Blanche Oliver
Address*
3 Palm street Brackendowns Alberton Gauteng 1448 Country
Phone*
(079)066-9452
Bank Details
Account Holder
Savannah Oliver
Name of Bank
Discovery Bank
Account Number
13019276396
Type of Account
Branch Code
Tax Details
Tax Reference Number
3798636167
Do you pay your own medical aid?*
If so, how many dependents?
Declaration
Do you have any criminal conviction against you?*
- Yes
- No
Are you currently under debt review?*
- Yes
- No
Do you have a credit judgement against you?*
- Yes
- No
Notes
Add Comments Here
Consent*
I hereby authorise the Compliance and Learning Center (Pty) Ltd and its duly authorised verification agent, to request or confirm any personal information as well as any other information that I have provided in support of the employment application to any personal data holders (including but not limited to the South African Police Services, the Government of the RSA, industry bodies and associations, employers and any educational, training, credit bureau and fraud prevention organisations) for the purpose of verifying my personal credentials and records, as well as other information necessary for purposes of the application. Credential verification types include, but are not limited to, educational qualifications, professional membership, employment history, employment references including industry employment registers, consumer credit, criminal records, drivers’ licence, and fraud prevention checks. I authorise the personal data holders (including but not limited to the aforesaid institutions) to furnish information regarding the credentials, whether claimed or not, to Compliance and Learning Center (Pty) Ltd and it’s duly authorised verification agent. I unconditionally indemnify the Compliance and Learning Center (Pty) Ltd, its verification agent and the personal data holders against any liability that may result from furnishing information in this regard.

Employee Information Form

Employee Information Form

Employee Details

Next of Kin Details

Bank Details

Tax Details

Declaration

Notes