Job Application

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Position applied for
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Available to start from
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Name
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Address 1
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Address 2
Address 3
Town / City
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Postcode
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Date of Birth (Optional)
Sex
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Mobile
Home number
Email
National Insurance Number

Next of Kin
Name
Address
Contact Details
Relationship

Other Information
Do you need a work permit?
yes no
Do you have any health issues?
yes no
Do you have a driving license?
yes no
If yes, is it clean?
yes no
Do you have any criminal convictions?
yes no
Previous experience


References (2 required - one from previous employer)
Reference 1 Name & Tel
Reference 2 Name & Tel

Data Protection

I give Plug permission to collect, retain and process this information about me. This information will only be used in order to monitor compliance with the law and best practice in terms of equal opportunity and non-discrimination. I declare that to the best of my knowledge and belief the information is correct. Applicants that declare health or disability problems will be given equal consideration.

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