Karriere Ansøgningsskema

Personal info

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

Education

Secondary School Name

Secondary School Qualifications

College Name

College Qualifications

University Name

University School Qualifications

Technical / Other

Technical / Other Qualifications

Employment / Experience

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)

References

Reference 1

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 2

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)

Health

Have you any existing or pre-existing health illnesses that may restrict you from normal daily activity?YesNo

If yes, please give details below:

Declaration

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