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FORM 1: APPLICATION FOR APPOINTMENT AS SHERIFF 1. (South Africa Department of Justice and Constitutional Development)

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DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
J743
REPUBLIC OF SOUTH AFRICA
FORM 1
APPLICATION FOR APPOINTMENT AS SHERIFF
REGULATIONS RELATING TO SHERIFFS, 1990
[Regulation 2B(1)]
Please note:
1. This form must be completed in block letters.
2. The information required In respect of race and gender is for giving effect to legislation and policies
relating to equity.
3. If there is a conflict of interest regarding any current post held by you, you may be asked to relinquish
such post.
4. If you are successful in your application, you will have to be in possession of a fidelity fund certificate
issued by the South African Board for Sheriffs, before you may perform any function of a sheriff.
5. The following documents must accompany the application form:
(a) A curriculum vitae;
(b) a certified copy of your identity document;
(c) certified copies of all educational qualifications;
(d) certified copies of certificates of service or, if not available, an affidavit by you in respect of
previous periods of service;
(e) testimonials from previous employers, if available;
(f) the nature and history of any past or present business undertaking, occupation or trade;
(g) the names, addresses and telephone numbers of two references;
(h) an affidavit regarding previous convictions and sequestrations (if any);
(i) an affidavit that you have the financial ability to establish and operate an office of sheriff,
including a list of all your assets and liabilities; and
(j) a certified copy of your driver's licence, if you have a valid driver's licence.
6. If you wish to apply for more than one post (if more man one post was advertised) a separate
application form is to be completed for each post you wish to apply for.
[If the space provided is inadequate, submit information as an Annexure to this form and sign each page.]
THE ADVERTISED POST
Area of jurisdiction (as advertised):
Reference number (as stated in the advertisement)
If you are offered the position, when can you
start/how much notice must you serve with your
current employer?
J743
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
2
PART A: APPLICATION [To be completed by applicant]
Surname:
Full Names:
ID. No./ Date of Birth
/ /
Race
Gender
Female Male
Are you a South African Citizen?
If no, please state nationality:
Yes No
Nationality:
Have you been convicted of a criminal
offence?
If yes, please give details of offence
and sentence:
Yes No
Details:
Have you ever been dismissed from
employment?
If yes, please give full details:
Yes No
Details:
Has any civil judgment been given
against you?
If yes, please give full details:
Yes No
Details:
Has any sequestration order been
given against you? If yes, please give
full details:
Yes No
Details:
Residential Address:
Code ( )
Residential telephone number:
Cellular telephone number:
Occupation:
Work address:
Code ( )
Work telephone number:
Preferred method for correspondence:
Post E-mail Fax
Correspondence contact details (In
terms of above):
Postal address:
Code ( )
J743
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
3
Preferred official language for
correspondence?
Do you have a valid driver’s licence?
Yes No
Code:
PART B: CHOICE OF AREA OF JURISDICTION OF APPOINTMENT (in the event of more than one vacancy
in one area of jurisdiction being advertised)
Area of jurisdiction where
appointment is preferred, in order
of preference:
1.
2.
3.
PART C: LANGUAGE PROFICIENCY – state “good”, “fair” or “poor”
Languages (specify)
Speak
Read
Write
PART D: QUALIFICATIONS
Name of school/Technical College
Highest qualification obtained
Year obtained
Tertiary education (complete for each qualification you obtained after grade 12 qualification, as well as
seminars/courses attended relating to functions of sheriff)
Name of institution
Name of qualification
Year obtained
Current study (institution and
qualification):
J743
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
4
PART E: WORK EXPERIENCE AND CURRENT BUSINESS ACTIVITIES
Employer (including current
employer)
Position held
From
To
Reason for leaving
(including retirement,
misconduct or ill-
health)
MM
YY
MM
YY
PART F: REFERENCES
Name
Relationship to you
Tel. No. (office hours)
PART G: DECLARATION
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 being disqualified or
my discharge if I am appointed.
Singed at ………….…………………………………………….. this …………….. day of ………………. 20……….
…………………………………………..
Signature of Applicant
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FORM 1: APPLICATION FOR APPOINTMENT AS SHERIFF 1. (South Africa Department of Justice and Constitutional Development)

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Completed 21 June 2021

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