Sagicor Group Jamaica Limited

Application for Employment

Please note that false information will disqualify you from the selection process or, if appointed, will result in dismissal.

Personal Details
Surname:

Gender:

First Name:
Middle Name:

Date of birth:
(dd/mm/yyyy)

Marital Status:
*NIS Number:
TRN Number:

Single

* If you do not have a National Insurance Number (N.I.S), we

will ask you to produce other evidence of your eligibility to work
in Jamaica and arrange to get one as soon as possible.

ID Number:
ID Expiry Date:
ID Type:

Female

Driver's License

Contact Details
Living there since:

Current Address:

(dd/mm/yyyy)

Lived there from:

Previous Address:

(dd/mm/yyyy)

To:
(dd/mm/yyyy)

Primary Contact Number:

Secondary Contact Number:
Tertiary Contact Number
Email Address:

Next of Kin Information

Name of Next of Kin (or nearest relative)
Next of Kins Current Address:
Next of Kins Contact Number:
Next of Kins Relationship to you:

Dependent Information
Dependents Name:

Sagicor Group Jamaica Limited Application for Employment

Age:

Gender:

Relationship To You:

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Sagicor Group Jamaica Limited

Application for Employment
Educational and Professional Qualifications
Secondary School (from which you graduated):
CXC CSEC/ GCE OLevel Examination Results:
Subject:

Proficiency:

Grade

CXC CAPE/ GCE ALevel Examination Results:

Subject

Unit (if CAPE):

Grade

1
2
3
4
5
6
7
8
9
10

Completed Degree Information:

Majors, Minors, and/or Concentrations:

Degree Type:

Field of Study:

Honours, if any:

Completion Date (mm/yyyy):

Awarding Institution:

Location:
Majors, Minors, and/or Concentrations:

Degree Type:

Field of Study:

Honours, if any:

Completion Date (mm/yyyy):

Awarding Institution:

Location:
Majors, Minors, and/or Concentrations:

Degree Type:

Field of Study:

Honours, if any:

Completion Date (mm/yyyy):

Awarding Institution:

Location:
Current/Future Educational Pursuits:

Are you currently pursuing further studies or planning to do so in the near future?

Yes

If yes, please explain, including

expected completion date:

Professional Qualifications/Memberships:
Licenses/Certifications:
Professional Designations:
Professional Memberships:
Computer Skills
Please indicate proficiency in the following
applications:
Microsoft Word

Please list any other applications/software in which you are proficient

Basic

Microsoft Excel

Basic

Microsoft PowerPoint

Basic

Microsoft Outlook

Basic

Sagicor Group Jamaica Limited Application for Employment

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Sagicor Group Jamaica Limited

Application for Employment
Job Interest
Minimum Desired Salary (annual):

Earliest Date available to start working:

How did you learn of this job?

Most Recent Salary (annual):

Sagicor Corporate Website

If Employee Referral, please
provide Employees Name:
If Other, please explain:

Employment History
Please list jobs held in reverse chronological order (starting with the most recent first)

Company Name:

Position Held:

Start Date

End Date

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Month

Year

Have you ever been discharged or asked to resign from a position?

Reason for Leaving

No

If yes, please explain:

References
Please provide three (3) references, from your three most recent employers, or personal references if you have no working experience
References Name
References Company
Company Address:

References Position
References Contact Number:

References Name
References Company
Company Address:

References Position
References Contact Number:

References Name
References Company
Company Address:

References Position
References Contact Number:

Sagicor Group Jamaica Limited Application for Employment

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Sagicor Group Jamaica Limited

Application for Employment
Health
If you are comfortable doing so, please list any health conditions/diseases for which you have been diagnosed/treated:

Certification
I hereby authorize investigation of all statements contained herein and certify that the answers given by me to all questions on this
application are, to the best of my knowledge and belief, true and correct without any mental reservations whatsoever. I further affirm
that I have not knowingly withheld any facts or circumstances that would adversely affect this application and with full knowledge that
any misinformation will prejudice my application for employment.
Applicants Signature:

Date:
(Please type your full name)

Sagicor Group Jamaica Limited Application for Employment

(dd/mm/yyyy)

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