DEPT HARD SOFT SCAN SUD J1 FILE

JSCSC USE:

JSCSC PERSONAL PARTICULARS PROFORMA (ACSC 12)

The information supplied in this form is intended for use in managing the business and related social activities of the JSCSC. It may also be used at the discretion of JSCSC Staff to provide statistical information in answer to questions on the performance of the JSCSC. The information will be treated as personal under the terms of the Data Protection Act 1998.

Please complete in black ink and block capitals

1. Personal Details

Title/Rank / Commission / Seniority Date of Substantive Rank / / /
Surname (to be used in all College records) / Gender
Forenames
Decorations / Post Nominals
Nationality / Service/Personal No
Name or Nickname by which you
wish to be addressed [1]
Religion / Ethnic Origin
Service (Tick Box) / RN / RM / Army / RAF / CS
Specialization/Regt/Corps/CS Grade
Date of Birth (DD/MM/YY) / / / / Any other surname used currently/recently e.g. maiden name if newlywed woman.
Married/Civil partnered[2] or Single? / Dietary Restrictions (e.g. Vegetarian, Vegan, Muslim, food allergies.)
Accommodation Requirements (*Tick in appropriate box only)
Single Living In* / Unmarried and requiring a room in JSCSC Mess Accommodation
Single Living Out* / Unmarried and will live at Private address outside JSCSC
Married Unaccompanied Living In* / Married, unaccompanied by family and requiring a room in JSCSC Mess Accommodation
Married Living Out* / Married, accompanied by family will live at Private address outside JSCSC
Already occupying Shrivenham/Watchfield Quarters*
Married Quarters* / Married, accompanied by family and requiring Service Family Accommodation
Smoker/Non Smoker / ID Card Number
Town of Birth / Countryof Birth
Passport No. & Surname on Passport / Expiry Date
(DD/MM/YY) / / /

2. Family Details (where applicable)

Spouse/Civil Partner’s Forenames
Spouse/Civil Partner’s preferred name… / …and surname if different from yours
Children / Gender / Name / Date of Birth
Child 1 / / /
Child 2 / / /
Child 3 / / /
Child 4 / / /
Child 5 / / /

3. Parent Unit/Organization

Pre-Joining Contact Information (1): (Current Work address)
Contact address
Telephone No / E-Mail Address
Date
From: / / / / Date
To: / / /
Pre-Joining Contact Information (2): (Home contact address up to the start of the Course)
Contact address
Telephone No / E-Mail Address
Date
From / / / / Date
To: / / /
4. Education and Qualifications
Year / Education Details (Schools/College/University/Academy)
Do you intend to attempt KCL/MA Accreditation while at the JSCSC?
Educational Qualifications (Degrees, Diplomas, A Levels) (since age 16)
Subject / Level / Grade / Year

5. Experience.

Civilian Appointment / Civilian Organization / From / To

Notes to Summary of Military Services

UK Officers

Operational Experience: Defined as a tour of duty where an operational title has been published e.g. Operations BANNER, DENY FLIGHT, SHARP GUARD, HIGHBROW etc or UN Tours.

Combat Experience: Defined as deployments on operations in the Gulf or Afghanistan; Ops GRANBY, TELIC or HERRICK in-theatre. Non-Combat is involved but out-of-theatre:

e.g. If on Op GRANBY deployed to Saudi Arabia – tick Combat experience.
If on OP GRANBY but deployed to Cyprus – tick Non-Combat experience.
Sensitive Employment: Officers who have been employed in sensitive appointments (SAS, SBS etc) should ‘gloss over’ these periods of their careers.
Summary of Military Service:* Tick ()where appropriate / Op* / Non- Op* / Combat Experience*
(See Example) / Non-
Combat Experience*
(See Example)
Rank / Year / Theatre / Appt / Unit
Remarks:
6. Equal Opportunities (EO) Training
Please indicate whether or not you have received formal EO Training / I have received formal EO training / No formal EO training

Date of most recent formal training
Type of formal training:
5-day EO Advisers Cse (JEDTC, Shrivenham) /
2-day dblearning Cse /
1-day dblearning Cse /
Local Trg (min ½ day cse - not Induction Trg) /
dblearning CD ROM /
Other (Please specify)

7. Civilian and Military Training Record

Year / Type of Course / Place/School

8. Languages

Do you speak any foreign languages other than English? State whether fluent, fair or slight
Do you know any foreign country well (other than your own)?
  1. Sponsorship of International Students

Are you willing to sponsor an international student? (See para 23 of Course Information) / Yes/No*
If so, is there any country you are particularly interested in?

10. Sport/Leisure Interests.

Which sports do you intend to play at JSCSC and are you prepared to help organise?

Sport/Club/Activity / Experience/Standard/Handicap/
Position / Tick () if prepared to help organize

11. IT Proficiency

How Computer Literate are you? Rate your level of knowledge of the following software (1-5, 1=Not at all, 5 = Expert)
Microsoft Office / Word / Excel / PowerPoint
Other Packages (specify)

12. Main Pay Bank details (if known)

Name of Bank
Branch & Address
Bank Sort Code
Account Name / Account Number

Note: This form is to be returned as soon as possible to Chris Wakefield, ACSC Co-ord Lead Adminstrator, JSCSC, Faringdon Road, Swindon , Wilts SN6 8TS or electronically to . It can be accessed via our website click on Courses/ACSC/Pro Forma/ACSC 11 PPP

[1]Known name will be used on name badges and other administrative details however will not appear on official documentation.

[2] A Civil partner is a partner of the same sex who has been officially acknowledged under the Civil Partnerships Act 2004 or equivalent overseas legislation.