Application Form For Appointment as a Justice of the Peace

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Personal Details

*Ensure That All Information is Entered In Block Letters*

Name(Required)

Title First Last

Residential Address(Required)

Postal Address

Contact

Residential

Mobile

Business

Email Address(Required)

Place of Birth

Date of Birth(Required)

MM slash DD slash YYYY

Tin Number(Required)

Passport Number

The following Information Is Required

Are You Fijiian(Required)

Yes

If Not, How Long Have You Resided In Fiji?

Have You Ever Been Bankrupt? Yes/No

What Level of Education Did You Attain ?

Academic Qualifications

Max. file size: 120 MB.

What Languages Do You Speak ?

Offical Appointments if Any :

Have You Previously Applied for Appointment as Either a Justice of The Peace or as a Commissioner Of Oaths In Fiji:

Yes

If YES, Please Indicate The Year The Application Was Lodged:

Employment Particulars:

Present Occupation:

Employer's Name (or State if Self-Employed)

Length of Services:

Work Address

Telephone:

Previous Employer's Name:

Position Held & Length of Service:

Any Other Previous Employer's Name:

Position Held & Length of Service:

Do you have any convictions? Please provide current police clearance report(Required)

Yes

If Yes, Please Specify:

Membership of Clubs/ Associations etc or Details of Participation in Community

Projects:(Required)

Name:

Position Held/ Responsibilities:

Please Specify:

Referees (Two Names And Address Required)

Referee 1

Name(Required)

Telephone

Postal Address

Email

Referee 2

Name(Required)

Telephone

Postal Address

Email

Reason For Seeking Appointment:
(Please Provide Details in Support of your Application, Including Any Involvement You May Have With Community Groups That Is Relevant to The Duties And Functions of a Justice of The Peace)

Are There Any Matters That May Adversely Reflect of Your Character or Suitability For Appointment?

Yes

No

If Yes, Please Give Details

DECLARATION:

Name(Required)
First Last

Photo ID(Required)
Max. file size: 120 MB.

Driver's Licence Number

Expiry Date
MM slash DD slash YYYY

Birth Certificate(Required)

Passport No:

I hereby apply for appointment as a Justice of the Peace in Fiji and I am willing, if appointed, to undertake all duties attached and abide by the law and rules as they relate to the role of the Justice of the Peace.

I give my consent to the Minister for Justice and his/her employees to conduct a criminal history check on me and make confidential inquiries as to my character and suitability for appointment as considered necessary.

I further declare that I do not have any physical or mental incapacity that may affect the exercise of my functions if appointed as a Justice of the Peace.

I acknowledge that, if appointed, I will not knowingly perform the functions of a Justice of the Peace in relation to a matter before me in circumstances that would give rise to a conflict of interest.

I hereby declare that the statements made in this, my application for appointment as a Justice of the Peace and any attachments in support of this application, are true and correct in every particular.

Signature of Applicant:(Required)
Max. file size: 120 MB.

Declared at(Required)
MM slash DD slash YYYY

Documents

Cover Letter(Required)
Max. file size: 120 MB.

CV(Required)
Max. file size: 120 MB.

Two Reference Letter(Required)
Max. file size: 120 MB.

Birth Certificate(Required)
Max. file size: 120 MB.

Receipt From Police Clearance(Required)
Max. file size: 120 MB.

TIN Letter/ TIN ID(Required)
Max. file size: 120 MB.

2 Password Sized Photos- Certified(Required)
Max. file size: 120 MB.

Any Other Supporting Documents
Max. file size: 120 MB.

Application Checklist

Information And Document You Must Submit
Ensure that the application form is filled in block letter
Cover letter detailing reasons for application
Current CV detailing community services done and knowledge on local customs, culture and traditions
Two reference letter from referees stated in the application
Receipt from Fiji Police on the clearance for adverse record
TIN letter/ TIN ID
2 passport sized photos - certified
Birth Certificate
Any other supporting documents

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