Job Application Form Page 3
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13Your Details
Your Details
Statutory Requirements
Reference 1
(Only Food Store and Pharmacy Branch Applicants need to complete this section)
To ensure statutory requirements relating to young workers and sales licensing are met,
Full Name
please tick the relevant box
Job Title
Are you under 18?
Yes
No
Company
If YES please detail your date of birth
Address
Postcode
Right to Work in the UK
(Asylum & Immigration Act 1996)
Tel
E-mail
You will be required to produce original documents to prove your eligibility at the interview/assessment
stage and bring photocopies of them. Please don’t forget to bring them with you, otherwise we will not
Relationship to you
be able to progress your application any further.
Your previous job title (if employer reference)
Your employment date (if employer reference)
Special Requirements
From
To
Do you have any special requirements if you were invited to interview/assessment?
Yes
No
If YES please give details:
Reference 2
Full Name
Job Title
Company
Address
Postcode
Tel
E-mail
References
Relationship to you
Offers of employment are subject to two satisfactory references, one of which must be from your
present or most recent employer. Please provide details below of your referees. Please note references
Your previous job title (if employer reference)
will not be sought until an offer of employment has been made. If you are unable to provide two
Your employment date (if employer reference)
employment references please provide an academic reference.
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Parent category: Business