FORM 42: Application for Employee Licence

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FORM 42: Application for Employee Licence
1. First name(s) of Applicant:
2. Surname (incl. maiden surname):
3. Date of Birth:
4. Place of Birth:
6. Nationality:
7. Omang No.:
Place of issue:
Expiry date:
8. Passport No.:
Place of issue:
Expiry date:
9. Postal Address
0 /
10. Physical Address
0 /
11. Contact Number
13. Current Employer
14. Employers Physical Address
0 /
Employers Postal Address
0 /
Employers Contact Number
Employers Fax No.:
15. Previous employer’s details:
Name of employerEmployment PeriodAddress of employer
×
×
(2)
16. Academic information (Including all schools i.e. primary, secondary and tertiary etc.):
Date(Year to year)Name and address of academic institutionQualification obtained
×
×
(2)
17. Have you ever been convicted of a criminal offence: YES/NO
If yes, please give details in the table below:
18. Have you ever been declared legally insolvent or bankrupt or have you ever filed a petition for any type of bankruptcy or insolvency under any bankruptcy or insolvency law: YES/NO
If yes, please provide details of whether you have been rehabilitated, including date of rehabilitation:
0 /

DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

1. Certified copy of identity document (Omang or passport);
Upload
2. Original set of fingerprints from the Botswana Police Service;
Upload
3. Income tax clearance certificate or equivalent from country of origin;
Upload
4. Criminal clearance from a law enforcement agency in the country of origin, in respect of foreign applicants;
Upload
5. Two recent passport-size photos of the Applicant (not more than a month old);
Upload
6. References from the last three employers where the applicant has been employed;
Upload
7. A letter from the prospective employer confirming the employment offer.
Upload
I certify that the information supplied on this application form (please print name clearly) is true and correct. I understand that failure to provide true and correct information will result in the failure of this application.
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