| All fields indicated with a * are required. 
 
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                                                | * | Please enter the Name | 
                                            
                                                |  | Please enter the Surname | 
                                            
                                                | (Email Address) |  | 
                                            
                                                | 
 | Please enter the Email Address
                                                    Invalid Email Address
                                                    Must Confirm Email Address
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                                                | * | Please enter the Password | 
                                            
                                              
                                                |  | *Day 
                                                    *Month 
                                                    *Year | 
                                      
                                            
                                                |  | Please select the Qualification | 
                                            
                                                |  | Please enter What Qualification | 
                                            
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                                                |  | Please enter the Current Salary
                                                    Please Enter Current Monthly Salary Only in Numeric | 
                                            
                                                
                                            
                                            
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                                                | (a) Credit search on candidates credit profile with a registered credit bureau
                                                        * Yes
                                                    No
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                                                | (b) Criminal name clearance check * Yes
                                                    No
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                                                | (c) Verification of matric and other qualification check * Yes
                                                    No
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                            | (d) Verify and perform the following checks * (Click to view Agreement) Yes
                                No
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                                    DISCLAIMER:
                                        
                                            I/we acknowledge that the information on the web page is confidential, and I/we
                                                undertake to use the information only for the purpose of considering the employment
                                                of an applicant whose details appears on the web page.I/we acknowledge that no express or implied representations are made regarding the
                                                correctness of the information, or that it will meet particular criteria of accuracy,
                                                completeness or reliability of information, performance of quality.UNDERTAKING AND WARRANTY:
                                        
                                            I hereby authorise Total Recruitment Solutions to use the information I have submitted in this
                                                application for the purpose of:
                                                
                                                    referring me to a prospective employer;verifying the correctness of the information contained in this form;Placing my information (excluding personal information) on its web site for prospective
                                                        employers to peruse.On acceptance of the position offered to me through the efforts of Total Recruitment Solutions,
                                                I undertake to honour my obligations, and should I not be able to do so, I undertake
                                                to give fair warning to both Total Recruitment Solutions and to the firm/company where I am
                                                placed as an employee.I undertake to treat all interviews as confidential and not to disclose to anyone
                                                the name of the firm/company where I was interviewed.PLACE MY INFORMATION (EXCLUDING PERSONAL INFORMATION) ON THE WEB PAGE FOR PROSPECTIVE
                                                EMPLOYERS TO PERUSE. 
 
 I FULLY UNDERSTAND AND ACCEPT THE TERMS & CONDITIONS, THE ABOVE AND BIND MYSELF IRREVOCABLY. 
 
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