Title
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Mr
Mrs
Miss
Ms
Sir
Doctor
Professor
Advocate
Judge
Pastor
Rabbi
Reverend
Other
Prefer not to say
Gender
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Male
Female
Home Language
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Afrikaans
Arabic
Bengali
Mandarin
English
French
German
Greek
Gujarati
Hindi
Indonesian
Italian
Japanese
Javanese
Korean
Sign Language
Malay
Ndebele
Portuguese
Sepedi
Sotho
Spanish
Swati
Sundanese
Swahili
Tamil
Telugu
Tswana
Tsonga
Venda
Xhosa
Cantonese
Zulu
Are you a South African Citizen
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Yes
No
If you are not a South African citizen, please indicate whether you are in possession of a valid work permit
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Yes
No
Do you have a disability?
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Yes
No
Have you ever been dismissed from your employment?
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Yes
No
Are you a relative of any Public Representative or employee of the DA
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Yes
No
Have you ever held a Political or Operational position in the Party
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Yes
No
In this position with the Party, have you ever been involved in any disciplinary action
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Yes
No
Do you have a criminal record or pending criminal charges
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Yes
No
Are you willing to relocate
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Not Applicable - I live nearby
Yes
No
Highest Qualfication
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National Certificate (NQF Level 4)
Higher Certificate (NQF Level 5)
Diploma / Advanced Certificate (NQF Level 6)
Bachelor's Degree / Advanced Diploma (NQF Level 7)
Bachelor Honours Degree / Postgraduate Diploma / Bachelor's Degree (NQF Level 8)
Master's Degree (NQF Level 9)
Doctoral Degree (NQF Level 10)
Other