application for employment (1).pdf

7/26/2019 Application for Employment (1).pdf

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Sagicor Group Jamaica LimitedApplication for Employment

Sagicor Group Jamaica Limited Application for Employment Page 1 of 4

Please note that false information will disqualify you from the selection process or, if appointed, will r esult in dismissal.

Personal Details

Surname: Gender:

First Name: Date of bir th:

Middle Name: (dd/mm/yyyy)

Marital Status:

*NIS Number:

TRN Number:

ID Number:

ID Expi ry Date:

*If you do not have a National Insurance Number (N.I.S), wewill ask you to produce other evidence of your eligibility to workin Jamaica and arrange to get one as soon as possible.

ID Type:

Contact DetailsCurrent Address: Living there since:

(dd/mm/yyyy)

Previous Address: Lived there from:(dd/mm/yyyy)

To:(dd/mm/yyyy)

Primary Contact Number:

Secondary Contact Number:

Tertiary Contact Number

Email Address:

Next of Kin Information

Name of Next of Kin (or nearest relative)

Next of Kin s Current Address:

Next of K ins Contact Number:

Next of Kins Relationship to you:

Dependent Information

Dependents Name: Age: Gender: Relationship To You:

Female

Single

Driver's License


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Educational and Professional Qualifications

Secondary School (from which you graduated):

CXC CSEC/ GCE OLevel Examinat ion Resul ts : CXC CAPE/ GCE ALevel Examinat ion Resul ts :Subject: Proficiency: Grade Subject Unit (if CAPE): Grade

1

2

3

4

5

6

7

8

9

10

Completed Degree Information:Majors, Minors, and/or Concentrations

Degree Type: Field of Study:

Honours, if any: Completion Date (mm/yyyy):

Awarding Inst itut ion: Locat ion:

Majors, Minors, and/or Concentrations




Majors, Minors, and/or Concentrations




Current/Future Educational Pursuits :

Are you currently pursuing fur ther studies or planning to do so in the near future?

If yes, please explain, includingexpected completion date:

Professional Qualifications/Memberships:

Licenses/Certifications:

Professional Designations:

Professional Memberships:

Computer Skills

Please indicate proficiency in the followingapplications:

Please list any other applications/software in which you are proficient

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Yes

Basic

Basic

Basic

Basic


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Job Interest

Earliest Date available to s tart work ing: Minimum Desired Salary (annual):

How did you learn of this job?

If Employee Referral, pleaseprovide Employees Name:

If Other, please explain:

Employment History

Please list jobs held in reverse chronological order (starting with the most recent first)

Company Name: Position Held: Start Date End Date Reason for Leaving

Month Year Month Year










Have you ever been discharged or asked to resign from a position?

If yes, please explain:

References

Please provide three (3) references, from your three most recent employers, or personal references if you have no working experience

References Name References Position

References Company References Contact Number:Company Address:


References Company References Contact Number:

Company Address:


References Company References Contact Number:

Company Address:

Most Recent Salary(annual):Sagicor Corporate Website

No


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Health

If you are comfortable doing so, please list any health conditions/diseases for which you have been diagnosed/treated:

Certification

I hereby authorize investigation of all statements contained herein and certify that the answers given by me to all questions on thisapplication are, to the best of my knowledge and belief, true and correct without any mental reservations whatsoever. I further affirmthat I have not knowingly withheld any facts or circumstances that would adversely affect this application and with full knowledge thatany misinformation will prejudice my application for employment.

Applicants Signature: Date:

(dd/mm/yyyy)(Please type your full name)

application for employment (1).pdf

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