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Company Details
Company: 
Contact Person: 
Tel: 
Fax: 
Cell: 
Email: 
Birthday:  Day:     Month:
Does your Company have a Website ? 
Are you an Existing Client ? 
What area are you based in ? 
Do you have Exisiting Job Spec's you would like to attach ?   
Job Spec
Position Available: 
Are you looking for more than 1 Person in this position ?  
Is it an Affirmative Position ? 
Does the candidate need a Degree or Diploma ? 
Experience Required: 
Duties and Responsibilities: 
Is there any Software Package which is essential ? 
What Area (Location) is the candidate working in ? 
Is there any other information that is Critical to us finding you the right employee ? 
What is the Cost to Company ? (Gross Salary + Benefits) 
Do you offer Medical Aid ? 
Do you offer Pension ? 
Would You Like Us To Headhunt ? 
Would you like to sign a 3 week Exclusivity Agreement to receive a discounted rate ? 

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