Genetics Medical Scientist/Technologist

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* 1. Full name and surname:

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* 2. Identity Number:

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* 3. Do you have a criminal record?

Yes

No

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* 4. What is your highest qualification?

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* 5. Are you HPCSA registered?

Yes

No

If yes please indicate most recent HPCSA Number

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* 6. Indicate discipline or register

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* 7. Do you have demonstrable experience in molecular laboratory techniques? If yes, please provide examples.

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* 8. How many years of experience do you have in a commercial/ diagnostic laboratory?

None

1-3 years

4-5 years

>5 years

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* 9. Do you have any GLP, quality or health and safety experience and/or certifications? If yes, please provide examples.

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* 10. Have you ever been involved in a disciplinary enquiry at work? If yes, please give further details.

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* 11. Why are you looking to leave your current job?

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* 12. What is your current annual cost to company (before tax and deductions, including benefits and any bonuses) salary?

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* 13. What is your expected annual and monthly cost to company (before tax and deductions, including benefits and any bonuses) salary?

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* 14. What is your notice period?

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* 15. Please attached a copy of you most recent CV