CORPORATE GOVERNANCE
TEMPLATE:
CV FORMAT
FOR APPLICATIONS TO SAICA
COMMITTEES
(Ref. 112454)
CV Format for Application to Serve on a SAICA Committee
Committee for which
application is being submitted
PERSONAL DETAILS
Name of Applicant
Address
Postal
Code
Province / Region / Constituency
Telephone Number (w)
Telephone Number (h)
Fax Number
Cell Number
E-mail address
Information Required For Statistical Purposes:
Race
Gender
Any Disabilities? Yes/No
If Yes, please specify
Employment History
Company currently employed by
Position / designation within
Company
Period of employment at this
position
Period of employment with
current company
Previous position at current
company, if applicable
Previous Employer
Position / designation at previous
employer
Period of employment at previous
employer
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Governance/Board History
Current Boards/Committees
applicant is serving on
Period of activity on current
Boards/Committees
Previous Boards/Committees
applicant served on
Period of service on these
previous Boards/Committees
Qualifications
SAICA Membership number
(if applicable)
o Date of passing QE
o Date of becoming a SAICA
member
ID Number
Current qualifications
Date of attainment of current
qualifications
Highest education level achieved
Institutes at which qualifications
achieved
Any special awards or recognition
achieved
Please highlight your specific skills/expertise pertaining to the Committee you are
applying for.
Please list what other committees you have applied for, or currently serve on:-
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Motivation for membership. Reasons for applying for membership of this committee.
Please write a short paragraph (no more than 500 words) explaining key features
about yourself, relevant employment and/or academic background, current area of
specialization or professional involvement and your particular areas of interest and
expertise.
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#112454