Ministry of Agriculture: Referees Referee Details Contact Details
Ministry of Agriculture: Referees Referee Details Contact Details
Ministry of Agriculture: Referees Referee Details Contact Details
Ministry:
Position Applied For:
Vacancy or Reference Number:
Title: Surname/Family Name:
Given Names:
Date of Birth:
Gender information is gathered for statistical purposes only. Male Female
Completion of this section is voluntary, the information will not be
considered when assessing your application
Postal Address:
Residential Address:
(If different than postal)
Email address:
Phone: Phone alternate:
Are you a Fijian Citizen Yes No
Referees
Referee Details Contact Details
Name: Phone:
Organization: Email:
Position: Relationship:
Name: Phone:
Organization: Email:
Position: Relationship:
I hereby declare that I am able to travel as per the requirements of the position:
………………………………. Signature
Please ensure you attach your current Curriculum Vitae and a covering letter explaining your
suitability for the position
I certify the above details are true and correct and that I am a genuine applicant for the identified
position
• I have not been convicted of any criminal offences (for these purposes do not count any
infringement offences, e.g., parking or speeding offences, as they do not result in a conviction
being entered against you)
• I have not been the subject of any disciplinary action by any employer or professional body in Fiji
or overseas, nor are there any unresolved complaints against me
OR
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
• I have not been made bankrupt, entered into a composition with my creditors, or been
disqualified as a director.
• I know of no other matter which might affect my credibility in office.
• I understand and consent to my application form, my curriculum vitae and any other material
supplied being held by the Ministry of -- and being used to assess whether I may be employed in
the Ministry of --.
• I authorise the Fijian Government to make suitable enquiries to verify the information supplied in
my application.
• I understand that a false declaration on this form will invalidate my application and may result in
further legal action being taken against me.