APPLICATION

ONLINE APPLICATION FOR SECURITY

PLEASE COMPLETE ALL SECTIONS

Do you hold a current full/provisional driving licence?
(Tick as appropriate)
Have you ever been fined, cautioned, sentenced to imprisonment or placed on probation for a criminal act (subject to the rehabilitation of Offenders Act)?
(Tick as appropriate)
Are there any alleged offences outstanding against you?
(Tick as appropriate)
Have you ever been made bankrupt or have court judgements against you, whether satisfied or not, within the last 6 years?
(Tick as appropriate)
Are you subject to Immigration Control?
(Tick as appropriate)
If Yes, do you have an unrestricted entitlement to take up employment in the UK?
(Tick as appropriate)

EMPLOYMENT / UNEMPLOYMENT RECORD

Starting with your last or present employer, give details of your employment history for the last 5 years, including details of full time education if it falls within the period, include periods of self employment and military service. For any periods of unemployment give the address of the DWP Office to which you reported or the name of a person (not a relative) who can confirm your whereabouts. Please complete and do not leave gaps in dates, you must provide a continuous record for the last FIVE years.

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PERSONAL REFERENCE

Please give the name and address of at least one person, who has known you well for at least 2 years, is still in contact with you and who will provide a written reference. This person should have known you for at least two years and not be a previous employer, relative or resident at the same address as yourself.

Please state ALL previous addresses where you have lived in the past FIVE years.

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DECLARATION

I confirm that to the best of my knowledge the above information is correct. I accept that providing false information could result in my dismissal. Any offer of employment is subject to satisfactory screening.

Signed

(Draw in the box below)