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Providing false information with the aim of securing employment could lead to charges of obtaining pecuniary reward by deception Theft Act 1968 - section 16.
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Personal Details

(If lived at present address less than 3 years.)

The e-mail address above is important.
We will send a copy of your completed application to the e-mail address you provide above. By sending you a copy of your application we are ensuring you that we have successfully received it.

Example: If you have 2 dependants aged 5 & 10, then you would enter 5,10

Note: You must provide a copy of your C.S.C.S card along with the additional requested documentation.
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Emergency contact details

The address you currently live at.
(If lived at present address less than 3 years.)

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Rehabilitation of Offenders Act
Subject to the Rehabilitation of Offenders Act please answer the following questions:
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Employment history (last 5 years)
General rules for providing information:
  • If you have been unemployed, please supply details of the unemployment benefit office and dates that dealt with your claim & any reference number you may have.
  • Please do not leave gaps in dates - we must have a continuous record for the last FIVE years.
  • Any gaps in history will result in a delay in processing your application.
  • Please include full school & college details if attended within the last FIVE years.
How to use this screen.
Use the and links to manage your employment records, making sure that your most recent history is listed first.

Employer / Unemployment office *

Employers full name, address & telephone number/e-mail OR Unemployment office/Job centre/DSS office

(Please also include currency)
Add new record Remove Last Record
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Armed/Police service particulars
Ors only, as shown in Discharge Document.
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Specialist courses and qualifications
Please provide details of any specialist courses or professional qualifications obtained. (e.g. NVQ, CITY IN GUILDS etc)

How to use this screen.
Use the and links to manage your employment records, making sure that your most recent history is listed first.

School/College/University details *

Full name, address & telephone number/e-mail of the location where you were trained.

Certificate/Award/Result *

Name(s) of the certificates/awards received after training.

Add new record Remove Last Record
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Personal referees
Please supply the names and contact details for 2 referees who have known you continuously for at least five years. They should be able to vouch for your good character - they may NOT be a previous employer or relative.

Referee 1

Please include country code if outside of UK

Referee 2

Please include country code if outside of UK
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Screening & vetting

I certify that to the best of my knowledge, the information that I have given by me in this application is true and complete to the best of my knowledge and belief. I understand that any false statement or omission may render me liable to prosecution or dismissal without notice. I fully understand the consequences which may arise as a result of knowingly making a false declaration to gain employment or pecuniary advantage. (Theft Act 1968 Section 16). I accept that I may be required to undergo a medical examination where requested by the Company and I consent to the results of such examination being given to a Company Director. I further understand that a credit agency check may be carried out on me and I give my consent to this. I understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment. I authorize the company to approach Government agencies, former employers and personal referees for verification of my employment/unemployment record.


You may be employed in a position of trust by a company or one of its subsidiary companies we may have to apply for a Disclosure from the Criminal Records Bureaux. However, having a criminal record does not necessarily bar you from employment. If you wish to obtain more information please ask The Company Personnel Department for their Code of Practice or their policy statement regarding ex-offenders. Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. The Disclosure information is not retained i.e. it is disposed of within the timescales; recommended in the CRB Code of Practice. By signing below you agree to this process.

Data Protection Act 1998

We will use the information you have given on this form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment within certain contracts managed by your employers. It may be necessary to disclose your information to our agents and other service providers.

By returning this form to us you consent to our processing sensitive personal data about you where this is necessary, for example information about your past employment, finances, ethnic origin or criminal offences. You also consent to the transfer of your information to your employers where this is necessary. Your information will be held on our computer database and in our paper filing systems. You have the right to apply for a copy of your information (for which we may charge a small fee) and to have any inaccuracies corrected.