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APPLICATION FORM FOR EMPLOYMENT - page 4 / 4

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Please give the names, addresses and telephone numbers of two friends who have known you for over two years. They should not be relatives or past employers.

Name

Name

Address

Address

Telephone No.

Telephone No.

Occupation

Occupation

How long known?

How long known?

PLEASE NOTE THAT THESE REFERENCES WILL BE REQUIRED IN ORDER TO OBTAIN AN AIRPORT ID PASS.

When can you start work?

In the next 12 months, are there periods when you will be UNAVAILABLE for work? (ie. Holidays, Medical appointments etc.)     Yes         No      

If Yes, please give details:

Briefly state why you would like to work in this job and add anything which you wish to support application:

DECLARATION

I declare that the information given on this form is completed and accurate and to the best of my knowledge.  Any false statement may lead to refusal of employment or disciplinary proceedings or summary dismissal.  I understand that, any engagement entered into is subject to a probationary  period, satisfactory references and documentary evidence of a National Insurance Number/other proof of the right to work in the UK and a satisfactory medical examination (if required) . I have no criminal convictions other than those disclosed on the form. I authorise you to approach my former employers, education establishments, Government agencies, personal credit references agencies and personal referees for verification of information. I accept final offer of employment is conditional on satisfactory Criminal Record Check / Counter Terrorist Check.

Name:

Signature:

Date:

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