General Application For Employment In The Anguilla Public Service Page 5

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I understand that this application is not a contract of employment.
I understand that the Government of Anguilla will thoroughly investigate my work and personal history and verify all data given on this
application, on related papers and in interviews. I authorise all individuals, schools and firms named therein, except my current
employer if so noted, to provide any information requested about me and I release them from all liability for damage in providing this
information.
I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for
dismissal or refusal of employment.
Signature of Applicant __________________________________________
Date___________________________
N.B. If additional space is needed to complete any part of this form please attach a
.
separate sheet
FOR OFFICIAL USE ONLY
Received By: _____________________________________________
Date:______________________________
Notes:
Successful
Short listed
Reconsider
Unsuccessful
another time
Entered in System By: _____________________________________
Date: _____________________________
Verified By: ______________________________________________
Date: _____________________________

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