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JOIN US
Become A Member
Job Application Form
MEDIA STATEMENTS
CONTACT US
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Candidate Application form
Candidate Application form
Step
1
of
3
33%
INTEREST IN CONTESTATION
Which ballot are you applying to be considered for?
(Required)
PR
Ward
Both
Which municipality are you applying to contest in?
(Required)
Select
Buffalo City
City of Ekurhuleni
City of Johannesburg
City of Tswane
eThekwini
Greater Tzaneen
Mogale City
Msunduzi
Nelson Mandela Bay
Polokwane
Emalahleni
Mbombela
Standerton
Charl Cilliers
Secunda
(Note: You can only be considered for the municipality that you are permanently and physically residing in.)
VOTING STATUS
Are you correctly registered to vote?
(Required)
Yes
No
If you are not registered to vote or registered incorrectly, please visit registertovote.elections.org.za to register/update your registration before completing your application.
Only indicate the number of the ward without any text, i.e. 101.
(Required)
Only indicate the number of the ward without any text, i.e. 101.
PROSPECTIVE CANDIDATE PERSONAL DETAILS
Title
(Required)
Select
DR.
Miss
Ms.
Mr.
Mrs.
Mx.
Prof.
Rev.
Full name
(Required)
First Name
Middle Name
Last Name
Date of birth
(Required)
MM slash DD slash YYYY
ID number
(Required)
Phone number
(Required)
WhatsApp number
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
EDUCATIONAL AND PROFESSIONAL BACKGROUND
Have you completed high school (matric)?
(Required)
Yes
No
What is your highest level of qualification?
(Required)
Matric
Certificate/Higher Certificate
Diploma
Bachelor
Honours/Masters
PhD
I do not have a qualification
Do you possess any certified skills development training/professional qualifications?
(Required)
Yes
No
Do you possess any work experience?
(Required)
Yes
No
Work Experience 1
(Required)
(e.g., LOJ, Administrator, 2013-Current). If you do not have any work experience, please type “N/A”.
Work Experience 2
(Required)
(e.g., LOJ, Administrator, 2013-Current). If you do not have any work experience, please type “N/A”.
Are you a member of any professional body?
(Required)
Yes
No
e.g. SAICA (Accounting), ECSA (Engineering), SABPP (HR), and the Law Society
Are you or have you ever been a?
(Required)
Public Representative
Civic Organisation Member
Ward Committee Member
Residents Association Member
None
Other
Select all relevant.
DECLARATION
Do you have a criminal record?
(Required)
Yes
No
Terms and Conditions
(Required)
I hereby accept the above terms and conditions and declare that the information provided is true and correct.
1. The purpose of this form is to assist LOJ in selecting suitable and credible councillor candidates.
2. You will be required to disclose, in writing, fully and honestly any criminal and/or civil record you might have and/or pending criminal or civil matters to which I am a party.
3. LOJ may immediately terminate the selection process, remove your name from the list, and/or terminate your membership in the event that it is found that you have failed to make complete and accurate disclosures of any information as aforementioned and/or misrepresented information in any way whatsoever.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
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