[radio* gender "Male" "Female"]

AfricanWhiteColouredIndian

[radio* disability "Do you have a disability?" "Yes" "No"]

[radio* citizenship "Are you a South African citizen?" "Yes" "No"]

Do you have a valid work permit?YesNo

Do you hold a professional membership with any professional body?YesNo

Do you have a Driver’s License?YesNo

Have you been dismissed for misconduct in the past 10 years?YesNo

Have you been convicted of a criminal offense in the past 10 years?YesNo

May we conduct an ITC and Criminal Check?YesNo

[acceptance* declaration "I declare that all the information provided is true and correct. Any misrepresentation may result in disqualification or termination."]