MISA Apprenticeship Programme

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MUNICIPAL INFRASTRUCTURE SUPPORT AGENT
MISA APPRENTICESHIP PROGRAMME

2019/2020-2022

IMPORTANT INFORMATION

  • Please complete in black ink.
  • Sections A to F should be completed in full. Incomplete forms will not be accepted. Please

note, your application must include the following documents : – 

Reference number of the applied trade /position 

Curriculum vitae 

Certified copies of relevant qualifications 

Certified copy of the South African identity document 

Proof of Residential address

Applications that do not comply will not be considered


A. POST PARTICULARS

Programme: MISA Apprenticeship Programme 2019/2020-2022

Province in which the applicant choose to be placed :
(Please refer to MISA/ CoGTA website)

Name of Municipality :

(Please refer to MISA/ CoGTA website)

State required trade as per advert:

B. DETAILS OF THE APPLICANT

Title: Initials:

Surname:

First Name(s):

Date of Birth: Are you a SA Citizen: Yes No

ID Number: Age:

Please mark the relevant block Gender: MALE FEMALE

Race: AFRICAN WHITE COLOURED INDIAN

Do you have a disability as contemplated by the Employment Equity Act 55 of 1998? Yes No

If yes, specify:

Do you have a previous criminal offence or pending criminal case(s) Yes No

If yes, specify:


Residential Address: Postal Address: (If different from Residential address)

Contact Number: Alternative Number:

E-mail Address (If applicable):

C. LANGUAGE PROFICIENCY- State ‘good’, ‘fair’ or ‘poor’

Languages

Speak

Read

Write

What is your highest standard passed? (attach proof)

Do you have an additional completed qualification? Yes No

If yes, specify: (attach proof)

Are you currently studying? Yes No If yes,
specify.

Qualification: Institution:

D. WORK EXPERIENCE (If any)

Have you previously been employed by the Public Yes No
Service?

Have you previously been enrolled into one of the following
programmes

If yes, put an (x) on the relevant programme

Learnership

Apprenticeship

Experiential Learning

Employer (Including current Position held From To Reason for
employer) Leaving

E. REFERENCES

Name Relationship to you Contact Number (s)

F. DECLERATION:

I declare that all the information provided (including any attachments) is complete and correct to the best of my
knowledge. I understand that any false information supplied could lead to my application for the apprenticeship
being disqualified.

How to Apply


NB: Do not pay for any job placement, a job cannot be sold. The job has to pay you not the other way round.
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