Employee Personal Details

Kitam
PERSONAL DETAILS
Event Type*

New Personal DetailsChange of Personal Details
Have you worked at Kitam Before?*

YesNo
If yes, previous Restaurant or Department
Previous Employee Number
Current Restaurant / Department
Current Restaurant / Department*
Title*
First Name(s)*
Surname*
Previous surname (if staff member before)
Date of Birth (ddmmyyyy)*

DayMonthYear
Date
Gender*

MaleFemale
ID Number*
Country of Birth*
Nationality*
Population Group (The Employment Equity Act requires employers to report on this)
Population Group*

AfricanColoredIndianWhiteForeign WhiteForeign person of colour
MARITAL STATUS
Marital Status*
Date of Marriage (If applicable)

DayMonthYear
Date
Spouse Full Name(s)
Spouse Date of Birth

DayMonthYear
Date
Permanent Street Address*
Suburb*
Postal code*
City*
Country*
Cell Number*
PERSON TO CONTACT IN AN EMERGENCY
Surname; First Name*
Gender*

MaleFemale
Relationship*
Residential Address*
Telephone Numbers*
CHILDREN (DEPENDENTS)
Child 1
Name

First NameSurname
Date

DayMonthYear
Date
Gender

MaleFemale
Is this child financially dependent?

YesNo
Child 2
Name

First NameSurname
Date

DayMonthYear
Date
Gender

MaleFemale
Is this child financially dependent?

YesNo
Child 3
Name

First NameSurname
Date

DayMonthYear
Date
Gender

MaleFemale
Is this child financially dependent?

YesNo
Child 4
Name

First NameSurname
Date

DayMonthYear
Date
Gender

MaleFemale
Is this child financially dependent?

YesNo
PERSONAL DISABILITY
Are you Visually Impaired?*

YesNo
Do you have a Speech Impairment?*

YesNo
Are you Hearing Impaired?*

YesNo
Do you have any Motor Disabilities?*

YesNo
Do you have any Chronic Illness? (specify)
Do you have any Other Disability? (specify)
Do you use a Wheel Chair?*

YesNo
Do you believe your disability limits your opportunities for employment or promotion?*

YesNo
CITIZENSHIP
Is Kitam your SOLE employer?*

YesNo
Are you a South African Citizen?*

YesNo
If you are not a South African Citizen, do you have Permanent Residence?

YesNo
If NO in the last two questions, a work permit must be obtained and forwarded to the HR Department before the appointment and/or payment can be made.
DECLARATION
I certify that the above information is true and correct.
Empoyee Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Kitam

PERSONAL DETAILS

MARITAL STATUS

PERSON TO CONTACT IN AN EMERGENCY

CHILDREN (DEPENDENTS)

PERSONAL DISABILITY

CITIZENSHIP

DECLARATION