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Your Details

Personal Details

Provide your full name as it appears on your right to work document.

Title

First Name

Middle Name

Last Name

Preferred Name

Address Details

Address 1

Address 2

Town/City

Postcode

Contact Details

Email Address

Home Phone

Mobile Phone

Right to work

Are you eligible to work in the UK?

Yes

If yes, please confirm which option your eligibility in the UK is based upon?

UK Citizen

Tier 1 Visa

Tier 4/Student Visa

EEA/European Union National

Tier 2 Visa

Indefinite Leave to Remain

Other Visa

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If successful for this role, you would be required to undergo an Enhanced DBS check; is there anything would prevent you from receiving a clear one?

Yes (Please provide further details below)

Details

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Education & Employment

Education, Training & Professional Membership

Please complete all sections

Qualifications

Please list academic, professional and vocational qualifications stating qualification, awarding body and date achieved.

Qualification

Awarding Body

Date Achieved

Please provide details of professional body membership

If you are applying for a Clinical position for example Nurse, please provide your Nursing and Midwifery Council (NMC) PIN Number and expiry date

PIN Number

Expiry Date

Employment History

Please go back at least five years and complete all sections

Employer 1

Employee Name

Employed from

Employed to

Position Held

Current Notice Period / Reason for Leaving

Brief summary of duties and responsibilities

Additional employment information

Employment gaps: Please give details of any gaps in employment within the past five years. Include a brief summary of reasons and activities undertaken during this time.

References

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Unfortunately we cannot accept references from a friend or relative. Please note that a Company email address should be provided for all work references.

Current Employer/Most recent employer

Employer Name

Referee's Name

Position held

Company Postal Address

Company Email

Contact Number

Employer 1

Employer Name

Referee's Name

Position held

Company Postal Address

Company Email

Contact Number

You are applying for

Domestic Housekeeper

Oxford Street, Castleford, WF10 5DF

Contract Type	Permanent
Job Category	Domestic/Laundry
Shift Type	Days
Shift Structure	33 hours per week
Pay	£12.21