Clone of Health Safety & Environment Roles

Job Application
Security Roles
Personal Details
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number

Area CodePhone Number
Gender
Marital Status
Number of Children
Hometown & Region
Role Applying For*

Security SuperintendentSecurity Supervisor
Address*

Residential Address

Constituency

RegionHometown

Nearest Landmark
Employment Desired
Date You Can Start

DayMonthYear
Date
Salary Desired ($)
Education
Education History
Employment History
Please List Your Previous Employments
References

Please list your references among your direct reports or colleagues.
Please List Your References (List At Least 3)
Medical & Conduct Declaration

Select YES or NO. If YES, provide explanation and provide proof where applicable.
Have you ever been convicted of a criminal offence?

YesNo
Have you ever been treated for mental illness or emotional disorder?

YesNo
Do you have any chronic or terminal illness?

YesNo
Do you take any medication daily?

YesNo
Do you smoke?

YesNo
Do you consume alcohol?

YesNo
Do you have any physical disability or medical condition that may affect your work?

YesNo
Do you have any experience in mining or industrial work environments?

YesNo
Do you consent to background and reference checks as part of this application?

YesNo
EXPLANATION / DETAILS

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Cover Letter & Resume (Optional)
LinkedIn Profile
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Cover Letter

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By clicking the submit button below, I hereby declare that the information provided is true and complete. I understand that any false information may lead to disqualification or dismissal. I consent to the Company verifying the information and conducting background checks as necessary.
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Job Application

Security Roles

Personal Details

Employment Desired

Education

Employment History

References

Medical & Conduct Declaration

Cover Letter & Resume (Optional)

Send Application