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CONFIDENTIAL Application form

West Berkshire Council

If you are completing this form on screen you can access each field by clicking within it using the mouse; alternatively move from field to field using the TAB key (Shift + TAB to move backwards). Enter or remove an X in a check box by single left click. Please supply any extra pages in additional documents sent with this application stating your name post reference number and post title.

POST APPLIED FOR:

POST REF:

CLOSING DATE:

Where did you see the post advertised?

If it is possible would you like to be considered as a job sharer for this position? Yes

No

Personal Details Last Name

First Names

National Insurance No

Contact Address

Postcode Email Address Do you need a work permit? What is your preferred method of contact?

Yes

E-mail

No

Daytime Tel No Home Tel No Mobile No Fax No

May we contact you at work?

Phone

Fax

Yes

Post

No

Employment Details _________________________________________________________________________________________ Current or most recent first Dates M=Month Y=Year

M From To Y M

Y

Enter Job title and Employer’s name & address

Reason for

Length of

Salary &

leaving

notice

benefits

Main responsibilities and reporting relationships of your current or last job

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