Application For Employment Page 2

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EMPLOYMENT DETAILS
No reference will be made to your present employer without your consent
Present/Latest Employment.
Names, Address and business of employer:
Latest position held: (Brief description of duties and responsibilities):
Date Started:
Current/Latest Salary:
Additional Benefits e.g. Car,
Bupa, etc
Reason for Leaving:
Notice Required:
PREVIOUS EMPLOYMENT
Duration of
2. Name, address and business of employer
Reason for
2. Position held – brief description of duties and responsibilities
Employment
Leaving:
Have you been convicted of any criminal offences not regarded as spent under the Rehabilitation of Offenders
Act 1974.
Yes / No
If Yes, please describe the offence:
Name two referees (preferable previous employers) we would have your permission to approach if
necessary. This would NOT be done without your permission
1)
2)
Tel:
Tel:
By signing this application form, you consent to its use under the Data Protection Act 1998.
The information given on this form is, to the best of my knowledge, true and complete. Any false of
misleading statements may lead to dismissal.
Signed:
Date:
Rev. 2 2013

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