Please enter the required fields. Please review the form
Complete Name (*)
Date of Birth (*)
Address (*)
Postcode (*)
Home Telephone Number (*)
Mobile Phone Number (*)
Email Address (*)
National Insurance Number (*)
Do you hold a full UK driving licence? (*)YesNo
Do you have any points or convictions on your licence? (*)YesNo
If yes, please give details:
Have you ever been convicted of a criminal offence? (*)YesNo
If yes, please give details / dates of offence(s) and sentence:(1)
What Sales Experience do you posses?
Please state number of days absent in the last two years ?
What is your current salary including bonus / Comission?
Are you Currently Employed? (*)YesNo
Please confirm you can provide your P60 (*)YesNo
Please confirm you can provide your last 3 months Wage Slips (*)YesNo
Secondary School Name
Secondary School Qualifications
College Name
College Qualifications
University Name
University School Qualifications
Technical / Other
Technical / Other Qualifications
Please state the last three positions you have held
Name Of Employer (1)
Date from (1)
Date to (1)
Job Title & Responsibilities (1)
Salary & Reason for leaving (1)
Name Of Employer (2)
Date from (2)
Date to (2)
Job Title & Responsibilities (2)
Salary & Reason for leaving (2)
Name Of Employer (3)
Date from (3)
Date to (3)
Job Title & Responsibilities (3)
Salary & Reason for leaving (3)
Reference Name (1)
Job Title (1)
Work Relationship (1)
Organisation (1)
Date Employed From (1)
Date Employed To (1)
Reference Address (1)
Reference Postcode (1)
Reference Email (1)
Reference Phone (1)
Reference Name (2)
Job Title (2)
Work Relationship (2)
Organisation (2)
Date Employed From (2)
Date Employed To (2)
Reference Address (2)
Reference Postcode (2)
Reference Email (2)
Reference Phone (2)
Have you any existing or pre-existing health illnesses that may restrict you from normal daily activity?YesNo
If yes, please give details below:
I confirm that the information provided in the application and within my Curriculum Vitea is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability to the post and may form the basis of any subsequent personnel file.
C-Tec undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. After initial assessment, C-Tc may keep our details on file pending suitable opportunities that may arise in the future. Please tick if you do not wish us to hold your details:Yes
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