Regulations > Regulations relating to Sheriffs, 1990 > Annexures

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.	lf 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 than 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?

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

Nationality:

Have you been convicted of a criminal offence? If yes, please give details of offence and sentence

Yes

Details:

Have you ever been dismissed from employment? If yes, please give full details:

Yes

Details:

Has any civil judgment been given against you? If yes, please give full details:

Yes

Details:

Has any sequestration order been given against you? If yes, please give full details:

Yes

Details:

Residential Address:

Code ( )

Residential telephone number:

Cellular phone 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 ( )

Preferred official language for correspondence?

Do you have a valid driver's licence?

Yes

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:

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 your 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)

PART E: WORK EXPERIENCE AND CURRENT BUSINESS ACTIVITIES

Employer (including current employer)

Position held

From

Reason for leaving (including retirement, misconduct or ill-health)

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.

Signed at ................................................................. this ............ day of .................... 20 ...... .

...................................

Signature of applicant

[Form 1 substituted by regulation 18 of Notice No. R. 742 dated 14 September 2011]

Sheriffs Act, 1986 (Act No. 90 of 1986)

Regulations

Regulations relating to Sheriffs, 1990

Annexures

Form 1 : Application for Appointment as Sheriff [Regulation 2B(1)]