| Post applied for |
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| Date available to take up position |
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| Where did you see the vacancy advertised? |
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| On what basis are you applying for this post? |
Full time Part time - No. of hours: |
| Title |
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| First names |
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| Surname |
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| Have you ever used any other name? |
No
Yes |
| If yes, please state |
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| DOB |
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| National Insurance Number |
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| Telephone (home) |
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| Telephone (work) |
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| Telephone (mobile) |
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| Email (if any) |
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| Address (in full) |
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| Marital status |
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| No. of Children |
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| Do you hold a valid passport? |
No Yes, number: |
| Do you hold a valid driving licence? |
No
Yes |
| If yes, is it clean? |
No
Yes
N/A |
| If no, please give details |
|
| Licence Type |
Provisional
Full
PCV Manual
PCV Auto
Other |
Do you have transport available if the
duties of the post require you to travel? |
No
Yes |
| Have you ever been refused motor insurance? |
No
Yes |
| If yes, please give details |
|
| Have you had any motor accidents in the last 5 years? |
No
Yes |
| If yes, were any your fault? |
No
Yes |
| If yes, please give details |
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| Do you have any disabilities? |
No
Yes |
| If yes, please specify |
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| Do you wear spectacles/contact lenses? |
No
Yes |
| Do you have any medical conditions? |
No
Yes |
| Do you take any form of medication? |
No
Yes |
| If yes, please specify |
|
| Do you smoke? |
No
Yes |
| Do you use drugs? |
No
Yes |
| How many units of alcohol do you drink in a week? |
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| Have you ever received compensation for personal injury? |
No
Yes |
| Bank Name |
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| Bank Account Number |
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| Bank Sort Code |
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Breaks in employment history
If you have had any breaks in employment since leaving school, please give dates and details of your activities during these times
e.g. unemployment, raising a family, study, voluntary work etc.
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Education and qualifications
Please provide dates, the name of the educational establishment and details of the course / qualifications gained with grades
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Membership of, or registration with, professional bodies
Please provide the name of the professional body, level / type of membership, reg. number and renewal date
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Other relevant training/experience
E.g. recognised apprenticeship, first aid, fire warden, health & safety, works council
Please provide the date, organising body and a brief description of the course and standard achieved.
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Alternative or additional languages spoken
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Current or most recent employment
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| Name and address of employer |
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| Job Title |
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| Current or last salary and grade |
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| Average weekly hours |
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| Date started in post |
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| Notice required in current job |
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| Do you have a P45? |
No
Yes |
| Date of leaving (if relevant) |
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| Reason for leaving |
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| Brief description of duties |
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Employment history
Please list all employment since leaving full time education starting with the most recent.
Please provide the employer's name and address, dates from / to, job title, average weekly hours and reason for leaving.
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References
Please give the names and addresses of two people who would be willing to supply a reference for you.
Where possible both of these should be your two most recent employers Johnson Bros Tours will only take up references if you are offered the position.
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| Reference 1 |
| Name |
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| Address |
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| Telephone number |
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| Fax number (if any) |
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| E-mail address (if any) |
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| How do they know you? |
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| Reference 2 |
| Name |
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| Address |
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| Telephone number |
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| Fax number (if any) |
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| E-mail address (if any) |
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| How do they know you? |
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| |
| Are you a U.K. Citizen? |
No
Yes |
| If no, are you authorised to work in UK? |
No
Yes |
| Do you hold a valid CRB Disclosure? |
No
Yes, certificate number |
| Have you ever been convicted of a criminal offence? |
No
Yes |
| If yes, please explain |
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Declaration
I confirm that the information given on this form is correct to the best of my knowledge. |
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