Application Form - Complex Logistics Ltd

Please answer ALL questions.
If necessary, please continue on additional sheet of paper and attach to this form.

POSITION APPLIED FOR: *

PERSONAL DETAILS (BLOCK CAPITALS PLEASE)

First Name(s) *

Surname *

National Ins No: *

Nationality: *

Emergency Contact/Next of Kin:

Name:

Address:

Tel (Home):

Tel (Work):

Mobile:

Home Address: *

Postcode *

Home Telephone

Mobile: *

Email: *

Source of Application:

FOR OFFICIAL USE ONLY

Interviewed by:

Driver Test Paper:

SAFED Training Course booked:

Manual Handling Booked:

Date:

Drive Safe Assessment booked:

Outcome:

EMPLOYMENT HISTORY

Please start with current / most recent employer and provide details of all employment in the last 5 years. If at any time you were not in employment, please give details and dates.

Company Name:

Full Address and Post Code:

Telephone Number:

Date Employed From:

Job Title:

Date Employed To:

Reason for Leaving:

Company Name:

Full Address and Post Code:

Telephone Number:

Date Employed From:

Job Title:

Date Employed To:

Reason for Leaving:

Company Name:

Full Address and Post Code:

Telephone Number:

Date Employed From:

Job Title:

Date Employed To:

Reason for Leaving:

Company Name:

Full Address and Post Code:

Telephone Number:

Date Employed From:

Job Title:

Date Employed To:

Reason for Leaving:

Company Name:

Full Address and Post Code:

Telephone Number:

Date Employed From:

Job Title:

Date Employed To:

Reason for Leaving:

Please provide additional information on a separate sheet if necessary. (PDF format only)

Choose File

EDUCATION DETAILS (AGE 11 ONWARDS)

School/College/University

Attended From: DD/MM/YYYY

Attended To: DD/MM/YYYY

Course/Subject

OTHER COURSES / TRAINING

College/Training Provider

Period From: MM/YY to MM/YY

Course

DRIVING LICENCE

If you are applying for a position which requires you to drive a vehicle on behalf of the Company please complete this section.

Licence Number:

Issue Date:

Do you hold a Digital Tacho Card?

YES

NO

Please give details of any Endorsements/ Convictions

Offence

Code

Date

Points

Fines

Have you ever been convicted of a criminal offence, excluding any that are spent under the Rehabilitation of Offenders Act 1974.

YES

NO

If yes, please give details.

Date

Offence

Sentence

ADDITIONAL INFORMATION

Please provide any additional information such as relevant skills, experience and achievements to support your application.

ADDITIONAL REFEREES TO COVER GAPS IN EMPLOYMENT

Please provide details of two referees known to you for at least five years (not family members or partners). If you have gaps in your employment history, please supply referees who will be able to verify what you were doing during those periods.

Name & Address of Referee 1:

Referee's Status:

Telephone:

Email:

Name & Address of Referee 2:

Referee's Status:

Telephone:

Email:

DECLARATION

I certify that all information provided in this Application for Employment is both accurate and complete. I understand that any false statements or withholding of information will provide grounds for the withdrawal of any offer of employment and may result in dismissal from the company if already employed.
I authorise the Company to take up references and I understand that any offer of employment is conditional upon the receipt of satisfactory and complete references for the last 5 years.
I give my consent for the information contained in this application form to be processed and held in accordance with the Data Protection Act 1998.

CANDIDATE DECLARATION

Due to the security nature of the duties you are being considered for, CLL Group request that you carefully read and acknowledge the following points:
1. As a candidate applying for employment with CLL Group, you are knowingly declaring that the information given throughout the entire recruitment process is complete and accurate.
2. You are also knowingly declaring that you have no criminal convictions which are not treated as spent under the provisions of the Rehabilitation of Offenders Act 1974 and which are not disclosed on the application form.
3. You accept that any misrepresentation of the facts is grounds for refusal of employment or disciplinary proceedings (and, perhaps, criminal charges).

I have read and fully understand the above statements. I give my authorisation for approaches to be made to any former employers, educational establishments, government agencies and personal referees for verification of the information that I have provided. I give my consent for the information to be processed and held in accordance with the Data Protection Act 1998. I have provided full details of my education, training and employment during the preceding 5 years, or since reaching the age of 15, whichever is the shorter period. I have provided precise dates, addresses and contact names wherever possible. *

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APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS (BLOCK CAPITALS PLEASE)

FOR OFFICIAL USE ONLY

EMPLOYMENT HISTORY

EDUCATION DETAILS (AGE 11 ONWARDS)

APPLICATION FOR
EMPLOYMENT