| SECTION 1
(Personal details) |
| Job Reference |
|
| Title (Mr/Mrs/Miss/Ms) |
|
| Surname |
|
| Forename(s) |
|
| Current address |
|
| Post code |
|
| Residential status |
|
| Telephone (Work) |
|
| Mobile |
|
| Telephone (Home) |
|
| E-mail address |
|
| Maiden name (if applicable) |
|
| Marital status |
|
| Arrival date in Jersey |
|
| Date of birth |
|
| Place of birth |
|
| Nationality |
|
Children
(Please indicate age[s]) |
|
Health
(Do you have a problem or a disability which is
relevant to an application for employment? If yes please
give details) |
|
| Number of days of sickness taken in the last 12
months |
|
Rehabilitation of Offenders (Jersey)
Law 2001
Please advise of any unspent convictions or of spent
convictions, which by nature of the role for which you
are applying, requires you to advise us |
|
| Please give details of any outstanding
petty debt and/or tax judgements against you |
|
| SECTION 2
(Temporary Employees) |
| Dates available (from - to) |
|
References
(Excel Recruitment take up references on all temporary
employees. Please give full names and contact details of
your last employer/s, covering the last five years, or a
professional person [if applicable]) |
|
| SECTION 3 (Skills) |
| Please give details, where
applicable, of the following: |
|
| Secretaries: |
|
| Audio |
|
| Copy |
|
| Shorthand |
|
| Switchboard |
|
| Typing Speed |
|
|
| Software Packages |
|
|
| Languages |
|
|
| SECTION 4
(Education) |
Schools
Please give dates, type of qualifcation(s) and
results |
|
College/University
Please give dates, type of qualifcation(s) and
results |
|
Other Qualifications
Please give dates, type of qualifcation(s) and
results |
|
|
| SECTION 5
(Employment) |
| Current Employment |
| Present Employer |
|
| Job Title |
|
| Start Date |
|
| Please list duties and
responsibilities |
|
|
| Previous Employment |
|
|
|
| SECTION 6 (Salary
Details) |
| Present Basic Salary |
|
| Next Review Date |
|
| Sum of all other benefits |
|
| Total Package Value |
|
|
| SECTION 7
(Declaration) |
| Excel Recruitment are collecting
personal information for the purposes of passing on to a
client to assist you in seeking employment. We may
disclose any details that you provide on this form to a
client. Your details will be retained for a period of 5
years from the point we take you off our register, at
which point all personal data will be deleted. If you
become an employee of Excel Recruitment your data will
be retained for a period of ten years, at which point it
will be deleted. |
| I confirm that the information contained in this
form is true and complete |
|
|
|
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