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PERSONAL INFORMATION
Picture* [ - add picture - ]
Title*
Name*
Surname*
Nick Name
   
  CONTACT INFORMARTION
   
Home Contact Number*
Work Contact Number
Mobile Contact Number*
Fax Contact Number
E-Mail*
   
HOME ADDRESS UK
Full Address
Post Code   
   
Date Of Birth * (dd/mm/yyyy)
Age
Sex* M F
Marital Status
Nationality*
Your Passport Number *
ID ( SA citizens only )
Visa Type *
Visa Expiry Date *
  COUNTRY OF ORIGIN DETAILS
   
Full Address *
Reference name( mother/father ) *
Reference Home Number( incl intl Dialing Code ) *
Reference Work Number( incl intl Dialing Code )
Reference Fax ( incl intl Dialing Code )
E-Mail
  TICKETS AND LICENSES HELD
   
Do you have a Police Clearence certificate Y N
Criminal Convictions * Y N
If Yes, please specify
Driver's License * Y N
Country of Issue *
If U.K. License, state endorsments if any
S.I.A. License Y N
CIS Card Y N
CSCS Card Y N
SITO Certificate Y N
Underground Entry Y N
Any Other, please specify
EMPLOYER AND EMPLOYMENT DETAILS ( start with most Recent )
1st Employer's Name *
Employers Contact Person *
Work Phone Number *
Work Fax Number *
Work E-Mail *
Physical Address *
Start Date *
End Date *
Position Held *
Duties *
Reason For Leaving *
  NEXT JOB
   
2nd Employer's Name
Employers Contact Person
Work Phone Number
Work Fax Number
Work E-Mail
Physical Address
Start Date
End Date
Position Held
Duties
Reason For Leaving
  NEXT JOB
   
3rd Employer's Name
Employers Contact Person
Work Phone Number
Work Fax Number
Work E-Mail
Physical Address
Start Date
End Date
Position Held
Duties
Reason For Leaving
EDUCATION HISTORY
   
Spoken English * (Please tick one) Good Fair Poor
Written English * (Please tick one) Good Fair Poor
Name of School
Address
Date From
Date To
Highest Level of Education passed at School?
List Subjects 1
2
3
4
5
6
7
8
9
 
Name of Colleges / University
Address
Type of course
Date From
Date To
Exams passed
PERSONAL REFERENCES ( please give the name and addresses of professional person who are not related to yourself who you have known for at least 5 years to whom references should be obtained. )
Name
Address
Telephone
Occupation
How long have you known him/her?
PHYSICAL RECORD
   
Height*
Weight*
20/20 Vision, if not please specify* Y N
Normal Hearing. if not please specify* Y N
Name of GP *
Detail Major Operation *
   
HAVE YOU EVER SUFFERED FROM?
   
Asthma / Bronchitis *
Epilepsy*
Rheumatic Complaints *
Back Trouble *
Heart Trouble *
Serious Skin Disorders *
Diabetes *
Nervous Disorders *
if you answered to yes to any, please list medication that you are takin
  JOB PREFERENCES
Direct Sales & Marketing
Hospitality & Catering
Hotel Live In Live Out
Furniture Fitting
General Labour
Trades, IE, Plumbing, Carpenter Please Specify
Security
Driving (Over 21's Only)
Admin ( Secreterial )
Other
 
Customer Feedback
 
  DO YOU KNOW ANYONE LOOKING FOR WORK?
  1st Person
Name
Contact Number
E-Mail
  2nd Person
Name
Contact Number
E-Mail
  3rd Person
Name
Contact Number
E-Mail
4th Person
Name
Contact Number
E-Mail
  5th Person
Name
Contact Number
E-Mail
  DO YOU KNOW ANYONE WHO WANTS TO COME TO THE UK?
  1st Person
Name
Contact Number
E-Mail
  2nd Person
Name
Contact Number
E-Mail
  3rd Person
Name
Contact Number
E-Mail
  4th Person
Name
Contact Number
E-Mail
  5th Person
Name
Contact Number
E-Mail
   
     

 

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