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Official Z83

Official Z83 Application Form

Fill in your application details online and export the standard Government Z83 PDF.

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1. Position 3. Contact 6. Finish

Position Applied For

Specify details as stated in the job advert.

Position Applied For

Department / Institution

Reference Number (as stated in advert)

Notice Period / Earliest Start Date

Personal Information (Section A)

Personal particulars, citizenship, statutory background declarations, experience, and registration.

Surname

First Names

Corner Initials (Pages 1 & 2)

Date of Birth

South African ID Number

Passport Number (Non-citizens / Optional)

Race

Gender

Do you have a disability?

Nature of Disability

Are you a South African Citizen?

Work Permit Number

Legal & Public Service Declarations

Statutory questions as required on Page 1 of the official DPSA form.

Are you currently employed in Public Service?

Department / Executive Authority

Criminal convictions?

Pending criminal cases?

Dismissed from Public Service?

Dismissal Particulars

Pending disciplinary proceedings?

Disciplinary Proceedings Particulars

Discharged on ill-health?

Ill-Health Discharge Particulars

Conducting business with State / Company Director?

Relinquish if appointed?

Business with State Particulars

Total Number of Years of Experience

Please specify total years of experience as requested on Page 1.

Private Sector (Years)

Public Sector (Years)

Official Professional Registration

If your profession or occupation requires official registration, provide date and particulars of registration (or N/A).

Date of Registration

Registration Number / Particulars

Contact Details (Section B)

Select your preferred correspondence method and provide contact info.

Preferred Method for Correspondence

Tel / Cell E-mail Post Fax

Primary Telephone / Cell (Preferred)

Alternative Telephone

E-mail Address (Preferred)

Postal / Physical Address (Preferred)

Fax Number (Preferred)

Preferred Correspondence Language

Postal Code

Languages & Qualifications (Sections C & D)

Language proficiencies (up to 5), formal qualifications (up to 4), and current studies.

Language Proficiency

Up to 5 languages as provided on official Z83.

Language 1

Speak

Read

Language 2

Speak

Read

Language 3

Speak

Read

Language 4

Speak

Read

Language 5

Speak

Read

Formal Qualifications

Up to 4 qualifications as provided on official Z83.

Qualification 1 (Highest)

School / Technical College / University

Year Obtained

Name of Qualification Obtained

Qualification 2

School / Technical College / University

Year Obtained

Name of Qualification Obtained

Qualification 3

School / Technical College / University

Year Obtained

Name of Qualification Obtained

Qualification 4

School / Technical College / University

Year Obtained

Name of Qualification Obtained

Current Studies (In progress, if applicable)

Work Experience & References (Sections E & F)

Employment history (up to 3 employers) and references (up to 3).

Work Experience (Detailed Roles)

Up to 3 employers as provided on official Z83.

Employer 1 (Most Recent / Current)

Employer / Department Name

Post Held / Job Title

Duration of Employment (From MM/YY → To MM/YY) Currently Working Here (Present)

From Month

From Year

To Month

To Year

Present (Current Job)

Reason for Leaving

Employer 2

Employer / Department Name

Post Held / Job Title

Duration of Employment (From MM/YY → To MM/YY) Present

From Month

From Year

To Month

To Year

Reason for Leaving

Employer 3

Employer / Department Name

Post Held / Job Title

Duration of Employment (From MM/YY → To MM/YY) Present

From Month

From Year

To Month

To Year

Reason for Leaving

Previous Public Service Condition

Were you previously terminated from Public Service?

Previous Employing Department & Termination Condition

Section F: References

Up to 3 references as provided on official Z83.

Reference 1 Name

Relationship

Contact Number / Email

Reference 2 Name

Relationship

Contact Number / Email

Reference 3 Name

Relationship

Contact Number / Email

Declaration & Signature (Section G)

Review declaration, customize font appearance, sign, and download your official PDF.

Legal 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 may result in my disqualification or dismissal if appointed.

Auto-Fill Empty Fields with "N/A"

Fills unprovided optional fields with "N/A" per official DPSA government instructions.

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Declaration Date

Attach Documents Optional · Merged into 1 PDF

Attach your CV, ID, driver's license, or qualifications to merge them into your application package.

1. Curriculum Vitae (CV)

2. Certified ID / Passport

3. Driver's License

4. Qualifications & Matric

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PDF Typography Style Official Output Style

Official Z83 Application Form

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Saved Z83 Applications

Position Applied For

Personal Information (Section A)

Legal & Public Service Declarations

Total Number of Years of Experience

Official Professional Registration

Contact Details (Section B)

Languages & Qualifications (Sections C & D)

Language Proficiency

Formal Qualifications

Work Experience & References (Sections E & F)

Work Experience (Detailed Roles)

Previous Public Service Condition

Section F: References

Declaration & Signature (Section G)

Legal Declaration

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