Application for Employment

Dear Applicant

Thank you for taking the time to complete this form. Please note that
you are also required to send in your CV and a covering letter with
your application.

The information you give us may be accessed by authorized personnel.

If you are successful in your application, you may access your personal
information and copy and or request correction of this information if
you believe it to be incorrect

Position Applied for:

Personal Information

First Name/s: Middle Name/s:

Surname: Date of Birth:

Contact Address: Passport Number:

Marital Statues:

Mobile Phone:

Home Telephone

Business Telephone:

Gender:

Email Address:
Contact for Emergency Purposes only

First Name: Surname:

Contact Address: Home Telephone:

Business Telephone:

References

We undertake not to approach any referee you have listed without

prior notification and approval.

I ………………………………………………………………………………………..
(Full name) consent to seeking verbal or written information on a
confidential basis about me from the referees listed below.
Furthermore, I authorize information sought by to be used for the
purposes of ascertaining my suitability for the position I am applying
for.

Note: We would prefer that at least one referee is/has been your direct
manager.

Referee 1 Referee 2 Referee 3

Name

Position
Company

Contact Address

Contact Phone
Email

Comments
(Anything we need to know that would have an impact on the workplace you
require so
We can ensure that you have a safe working environment)

...............................................................................................................................

...............................................................................................................................

...............................................................................................................................

...............................................................................................................................

Declaration

In signing this declaration, you endorse that all information provided by you
is true and correct in all respects and you understand that if any false
information is given or material suppressed, you may not be accepted for
employment or, if employed, you may be dismissed.(Application charge will
be non-refundable subject to Scot Land jurisdiction)

Signed: Date:

Photograph

Seal
stamp
of
Agenc
y.

Application Checklist

 Application form (including referee details)

 Current CV please provides in electronic format you can find a
suggested template on our Agents
 Photograph (this is for our reference only and will not be forwarded to
clients)
 Certified copy of Passport (showing any visas you might hold)
 Certified copy of Drivers License (if available)
 Certified copy of Qualification (i.e. degree certificate)
 Certified copy of your annual registration document in the country you
are currently practicing in
 Any additional information you think we should know about (please
clearly mark Documents with your name and indicate the number of
pages attached………)