Job Application Form Page 6

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Your Details
Your Details
Please supply details of any further training courses attended that are relevant to your application.
Rehabilitation of Offenders
Have you been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders
Act 1974?
Yes
No
If YES please provide details.
Availability
(please show your maximum range of availability)
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Please detail any professional bodies you are a member of
(for example GPhC, CIPD, CIMA)
Professional Body
Membership Type
Membership Number
Driving Licence Details
only complete if applicable to the position
Licence type
Yes
No
N/A Licence Number
Expiry Date
Full UK driving licence
LGV licence
FLT licence
Do you have any endorsements? If yes please give details
Date
Offence Code
Offence
8
9

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