Life. Group Employment Application Form Position Appid For: [ADmaissiDN Coe@i Feacity: First Name: fits: [NO Sumeme: Migaus Known As: [NFTOMBIE——————] Number: Gender: C41 TxX) Rave: igean_| Coloured | Asian | White | cect: = CY alae t ole Le | ele | Do youhave a disabity as. sd by the Deparment of Labour? [Yes | Ja] ye ple pct ova ouh sthanCuen? I toyuhtwenuntoriSouiatad CYSTS fyes, please attach a certified copy to this form. ER ES] CellPhone Number: 1620205 Landing; (RJR) Ateraive Number [093 S949 182 Residential Address: [OMT 1401 Feank's PLACE euBT Stecet ——] Postal Address: [enaraes@ueq —___| PostalCode: Job information PartTime? — [Yes |e] Ful Tine? How cd you hear about tis positon? [LiFe Gesu weasife i? Vatisyourcuretreminento? (Sema FEQ Have you previously applied to work at Life Heathcare? [Ya | No] Have you previously worked at Lie Heelfcare hospital or bshness unt? Myes,uichhsplr buses unt? (WZ Whatwas eur posten tte? JR Do you have relatives employed by Life Healthcare? [WK] No] Mysplase heels: [Cae —2can@y = BAA) _ ] Do youhave a personal business interests or ae you a Greco fe pvate company or dose copporaton? [Yes A. tee plas phe dou: [7A = [ ‘Where applicable, and in the execution of your normal duties, you may be exposed to certain health risks. The following are : anges can lh it: Manual handing of objects or patients (.e. muscular skeletal problems, back, neck or shoulder pain) Latex (i.e. derma, asthma) Ratiation (ie. pre-naignant or malignant condtion) Chemicals (ie. dermatitis, asthma, chronic bronchitis) HR PolRectiRes-04 Rev No: 1 Recruitment of Permanent Employees Erfetive date 2022 1 of 3 pagesLife. Group Ht you have any of the above or another conion that may be worsened and may have an impact on your appointment, please disclose such information below: (N/A ] [ ] Do you havea license or registration to perform the work you are applying for? Yes. ox ] tyes, please complete the following Registration Type: (AJ Registration Number: [Sd Reitaton Body: [M/A Regitabondate: Cd Renewal Date: Expiry Date: eT | Coorty sued [ja COVID 19 Vaccination Have you been vacinaled against COVID-192 Yes_| No Ifyes, please complete the folloning ‘Vaccine type received ‘Number of doses inset” (Place eae a RE conn, fueioeTHS ConactPasoaNane: (2eianoa—MeDeX | Poatinct Cone enon: [RANG Cena Phow Minter (G49 33H1 69. 2. Company: EXPRESS Burioses Cc Contact Person Name: Bancie ann Position of Contact Person: [FiogecT ManaG@en Contact Phone Number: 8. mp, | Pett: 0) ct SS Position of Contact Person: a] Contact Phone Number: May Life Healthcare contact the references listed above? [fag [_No_] Re ‘Consent to Perform Integrity Assessments {tis in both your andthe Company's best interest fo perform integrity assessments prir fo employment. An iniogtty assessment Involves comping a comprehensive background check relevant to the job tht wll be performed. One or mre ofthe folowing methods are used: HPol-RectRes-04 Rev No: 1 Page 2 of 3 pages Recruitment of Permanent Employees Effective date 2022Life. Group Reference check wih referoes as supplied Quaitication check 'SANC check (f applicable) CCreait andlor criminal check Consent to Process Personal Information lam aware th In processing my personal information, the Company may have acess to sensitve personal information, including information about my ciminat behaviour and my credit tstory, = The Company may contact me and my references by telephone, email or post forthe purposes set above. thereby: Consent the Company to process my personal information; Consent o this application form tobe used for recruitment purposes; ‘Voluntarily consent fr an integrity assessment to be carried out on me; ‘Accept tha the integrity assessment i pat of the pre-employment selection process; ‘Accept that Life Healthcare is under no obligation to make use of my services; ‘Authoise the Company to receive and store my personal information in accordance with legal and business requirements; ‘Understand that all personal information is disclosed in confidence and willbe kept in a Secure manner and wil be held dlscreelly and strictly confidential by the Company, ‘+ Tunderstand that the ability to proceed with the applcaion may be impacted should | not consent tothe above, ‘Note: Should you feel the Company is not processing your information appropriately or if you wish to correct information - The Group Infomaton Offear canbe contaced by emaiing mypivacy@lehenta’s coz The Infomation Reguaor infrea@stie.2012a responsible for montoing te processing of Personal iormaton mn South Aca, Is thee any oer nforaton, which may havea bearing on your subi forth positon? (Yes 13] yes, please detail (nature, date): [N/A _ SS Date: | Place: [ Signature ~— Dedaraton hereby declare that al particulars and answers inthis application form are true and no materia fact has been withheld. | agree that this application and dectaration shall be the basis of any contract between the Company and, thatthe withholding of any ‘material information or falure to answer the questions correctly will constitute a breach ofa contin of my employment (i am ‘successful in my application) for which Imay be dismissed. aas 93 OS 92 ‘Signature ~~~ Date ~ HR Po RectRes-04 fer No: age 3 of 3 popes Recruitment of Permanent Employees Efectve cate 2072067 162 0265 /071 965 5852 [Link]@[Link] Braamfontein, 2100 NTOMBIKAYISE MBALI PROFESSIONAL SUMMARY ‘A dedicated and hard-working Human Resource Management graduate with a drive and initiative, thorough attention to detail, with excellent time management and task prioritization skills. | have strong administrative skills. am able to collect and analyse information, digest facts/figures and quickly grasp complex technical issues. An innovative, resourceful, result-oriented person with and ability to adjust to an environment with relative ease. | possess good negotiation and problem-solving skills and swiftly identifies the root of any problem and develop an effective solution. | am an energetic, and highly motivated person who takes own initiative and have an ability to work unsupervised. Seeking a suitable position in a competitive organization with ample opportunity for professional ‘growth and career advancement. Committed to performing all tasks with the highest level of professionalism and competence. ‘SKILLS AND COMPETENCIES © Excellence orientation « Ethical behaviour ® Customer care ‘© Office Administration © Claims Administration ‘© Time management Client relations icrosoft (word, Excel, Power Point, and outlook) © Ability to handle customer complaints and solve problems EXPERIENCE * Team work ‘9 Analytical skis © Good verbal and non-verbal communication skills and interpersonal skills © Leadership skills ¢ Research & Report Writing © Confidentiality ® Adaptable and flexible ® Can easily adapt to a new environment Service Desk Consultant, Truworths Oct 2017 ~ Aug 2019 Listening to customer concerns and providing information, answers, or responses. Taking orders and processing billings and payments. Obtaining and correctly recording customer information. Reviewing and making changes to customer accounts. Handling customer complaints and processing returns effectively. Keeping records of customer interaction: Ensuring customer satisfaction or referring customers to supervisors. Identifying opportunities to up-sell other products and services. Employee Relations Intern, Express Builders Mar 2015 ~ Mar 2017 ‘* Update our internal databases with new employee information, including contact details and employment. forms ‘© Gather payroll data like leaves, working hours and bank accountsScreen resumes and application forms Schedule and confirm interviews with candidates Post, update and remove job ads from job boards, careers pages and social networks Prepare HR-related reports as needed (like training budgets by department) ‘Address employee queries about benefits (like number of remaining vacation days) Review and distribute company policies in digital formats or hard copies Participate in organizing company events and careers days EDUCATION National Diploma in Human Resource Management Dec 2013 Walter Sisulu University Business Management, Personnel Management Grade 12 Dec 2008 Skwezi Technical Centre ‘Accounting, Economics, CAT, English FAL, Isithosa Hl, Life Orientation DRIVING LICENSE C1 Driving License REFERENCES. Ziyanda Mqogi Truworths manager 0475311696/ 0718218743 Banele Yawa Express builders manager (0436852322/ 0828419094 Zola Nyamanda mentor from Coega 08365475672 -05- 23 COMMUNITY SeRvicg centne TAFRICAN POtieg SERVICEREPUBLIC OF SOUTH AFRICA National Senior Certificate ‘Awarded t0 Ntombikayise Mbali Identity number 9008080857083 Achievement Subjects level isiXhosa Home Language English First Additional Language Life Orientation Accounting Computer Applications Technology _ Economics SERIES Ee A SAI a EO TIE This candidate [Souri ‘© higher education, subject to the admission er education institution concerned. \Witn effect trom December 2008 — 090 9602 3749 B RR WIM, Chiel Executive Officer : Council for Quality Assurance in UMALUSI General and Further Education and Training | 5 South Africa Se ——iis CERIFICATE I PRINTED ON WATERMARK PAPER es 0373098Walter Sisulu University This Is to certify that NTOMBIKAYISE MBALI ID: 900808 0857 083 ~ having complied with the requirements of the Act and Statute was awarded the NATIONAL DIPLOMA: HUMAN RESOURCES MANAGEMENT Registrar Dean lo u 17988