| Please complete all sections of the online application form, once submitted, successful candidates will be contacted directly. |
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| SECTION 1) PERSONAL INFORMATION |
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| Position Applied for: |
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| Surname: |
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| First Name: |
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| Email Address: |
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| Title: |
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| Nationality: |
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| National Insurance No: |
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| Address: |
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| Post Code: |
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| Daytime Telephone No: |
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| Evening Telephone No: |
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| Mobile (if applicable): |
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| Do you have your own transport? |
yes no |
| Do you hold a current driving license? |
yes no |
| Please indicate the type of licence (if applicable): |
provisional
full
HGV
other(please specify)
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| Are you in good health? |
yes no |
Please detail any disability,serious illness or operations (with dates) |
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| Are you registered disabled? |
yes no |
Are you at least 18 years of age? (Say yes if you are 18 within the next 3 months) |
yes no |
| Are you eligible to work in the UK? |
yes no |
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| SECTION 2) EDUCATION AND TRAINING |
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| Please detail the educational establishments you have attended, most recent first; |
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Please detail any other courses / company training you have attended: |
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| Are you prepared to work : |
Full time
Part time
Shifts
Any
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| PLEASE GIVE DETAILS OF YOUR CAREER HISTORY -starting with your present / last employer |
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| Name of Employer: |
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| Address: |
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| Position Held: |
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| Brief Description of Duties: |
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| Date Started: |
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| Date Left: |
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| Starting Salary: |
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| Finishing Salary: |
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| Reason for Leaving: |
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| Name of Employer (2): |
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| Address: |
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| Position Held: |
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| Brief Description of Duties: |
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| Date Started: |
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| Date Left: |
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| Starting Salary: |
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| Finishing Salary: |
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| Reason for Leaving: |
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| Name of Employer (3): |
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| Address: |
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| Position Held: |
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| Brief Description of Duties: |
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| Date Started: |
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| Date Left: |
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| Starting Salary: |
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| Finishing Salary: |
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| Reason for Leaving: |
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| Name of Employer (4): |
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| Address: |
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| Position Held: |
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| Brief Description of Duties: |
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| Date Started: |
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| Date Left: |
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| Starting Salary: |
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| Finishing Salary: |
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| Reason for Leaving: |
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Please give details of your hobbies and pastimes - sports etc.: |
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Please detail any other skills or qualifications you have which may be relevant to the position: |
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Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act)? |
yes no |
| How did you hear of this vacancy? |
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Please list any other facts that you think will be useful when we consider your application: |
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If you were successful in your application, when could you take up the appointment? |
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| SECTION 3) REFERENCES |
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| Please give details of two referees (not members of your own family) one of which, must be your current or most recent employer. Your current employer will be contacted for a reference, but not until an offer has been made and accepted. |
| Name: |
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| Address: |
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| Occupation: |
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| Contact Number: |
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Please indicate in what capacity they are providing a reference (ie employer, friend etc): |
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| Name: |
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| Address: |
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| Occupation: |
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| Contact Number: |
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Please indicate in what capacity they are providing a reference (ie employer, friend etc): |
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Have you any relatives or friends, past or present working for the company? |
yes no |
| If so, please give details: |
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| DECLARATION |
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I
authorise the company ( Synseal Extrusions Ltd) to obtain references to
support this application and release the company from any liability caused
by giving and recieving information.
NB. Current Employees will not be contacted until and offer has been made
and accepted.
By submitting this form, I confirm that the information given in this
form is complete and accurate to the best of my knowledge and belief.
Incorrect information may be sufficient cause for rejection or if employed
dismissal.
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