ApplicationForm
Kendal Facility Management.
7 chingford Road . Walthamstow.
London E17 4PW
Tel:0844 272 1873
Fax: +44208 7712601
Email:
Website:
CONFIDENTIAL– Application Form
DECLARATION - PLEASEREAD THISCAREFULLY BEFORESIGNING THIS APPLICATION FORM
IunderstandthatemploymentwiththeCompanyissubjecttosatisfactoryreferencesandsecurityscreeningin accordancewithBS7858.
I undertake to cooperate with the Company in providing any additional information required to meet these criteria;
I authorizetheCompanytoapproachpreviousemployers,schools/colleges,characterrefereesorGovernment
Agenciestoverifythattheinformation I haveprovidediscorrect.
IauthorizetheCompanytocarryoutacreditcheckwithanauthorizedcreditinformationagency. Ifrequested I
Willbesuppliedwithacopyofanyinformationobtained.
IunderstandthatsomeoftheinformationIhaveprovidedinthisapplicationwillbeheldonacomputerand someorallwillbeheldinmanualrecords.
I consent to the Company’s reasonable processing of any sensitive personal information obtained for the purposesofestablishingmymedicalconditionandfuturefitnesstoperformmyduties. IacceptthatImaybe required to undergo a medical examination where requested by the Company. Subject to the Access to MedicalRecordsAct1998, I consent totheresultsofsuchexaminationstobegiventotheCompany.
Iherebycertifythat,tothebestofmyknowledge,thedetailsIhavegiveninthisapplicationformarecomplete andcorrect.
IunderstandthatanyfalsestatementoromissiontotheCompanyoritsrepresentativesmayrendermeliable
todismissalwithoutnoticeand/orlegalaction.
Signature:
PrintName:
Date:
The Companyholds details of all employers in accordance with The Data Protection Act.
Pleaseaffix
Photograph
APPLICATIONFOREMPLOYMENT
POSITION:……………………………………………………..………. REF NO: (If applicable)…………………………………..
PLEASEENSUREYOUCOMPLETEALLSECTIONSOFTHISAPPLICATIONINFULLUSINGBLOCKCAPITALSINBLACKINK. ONLY APPLICATIONS IN FULL WILL BE CONSIDERED. Due to stringent industry regulations we can only employ candidates who provideafullfiveyearcheckableemployment/educationhistoryaccountingforanytimespentnotworking.CV’sarenotacceptableon their ownbut maybe submittedwith the completed form ifyouwish. Kendal SecurityServices Limited isan Equal Opportunities Employer.
PERSONALDETAILS
NAME OF APPLICANTSurname……………………..……………………………… Miss /Mrs /Mr/Ms. Please circle
Forenames……………………………………………………………………………………………. Maiden name or any previous name bywhich you have been known...... …
TELEPHONE NUMBERSHome…………………………………………. Mobile……………………………………………… EMAIL ADDRESS: …………………………………………………………………………………………………………. ADDRESS …………………………………………………………………………………………………………
…………………………………...…………………………………………………………………….
………………………………………………………………… Postcode…...... Dates from……………………………………………………………………… ……………………
If less than 2yearsstateyour previousaddress:
PREVIOUS ADDRESS…………………………………………………………………………………………………………
………………………………………………………………………………………………………….
…………………………………………………………………Postcode…………………………… Dates from……………………………………..………. To………………………………………..…
DATE OF BIRTHAGE…………………………………………………………………..………………………………….…...
SEXMALEFEMALE
MARITAL STATUSSEPARATED / MARRIED / DIVORCED / SINGLE pleasecircle
PLACE OF BIRTH……………………………………………………Nationality………………………………………….
If not born in the EC, date ofentry……………………………………………………………………
If applicable:VISA TYPE:………………………………………………………………………….
VISA EXPIRY DATE:………………………………………………………………..
NATIONAL INSURANCE
NUMBER…………………………………………………………………………………………………………..
PERSON TOBE CONTACTED INANEMERGENCY/ NEXT OFKIN Name……………………………………………………………………………………………………. Address………………………………………………………………………………………………….
…………………………………………………………………………………………………………… Tel…………………………………………… Mobile…………………………………………………. Relationship……………………………………………………………………………………………..
SIA LICENCEDo you havean SIA LicenceYesNo
What type of licence do you hold?Guarding
Door Supervisor
CCTV Other………………………………………………….
If Yes enter details below / if No is training required?YesNo
Licence No:………………………………………………… Expiry Date……………………………. Licence No:………………………………………………… Expiry Date…………………………….
Licence No:………………………………………………… Expiry Date…………………………….
DRIVING LICENCE. / Do you haveyour own transport? / Yes / NoDo you currently have a full license? / Yes / No
Do you haveany current endorsements? / Yes / No
If yes, pleasegive details……………………………………………………………………………
………………………………………………………………………………………………………….
If you do nothold a currentdriving license, how do you plan to get to your placeof work?
………………………………………………………………………………………………………
BACKGROUND INFORMATION
Have you ever had acourt order made againstYESNODetails …………………………………...…
You includingcivil, criminal or military action?
Do you haveany criminal convictions, cautions orYESNODetails………………………………………. Motoring offences recorded against youor pending
In this or anyother country?
Are you presently, to your knowledge, the subject of aYESNODetails………………………………………. Police investigation or liable to appear inany civil,
Criminal or military court as a defendant?
Have you ever beensubject to BankruptcyYESNODetails………………………………………. Proceedings or received a court order for debt?
EDUCATIONTRAINING
From–To(Month/Year) / School /University /CollegeetcAddress / TelephoneNumber / Qualification
SERVICE RECORD
Army / Police / RoyalNavy /RAF / FireService / MerchantNavy / CircleasappropriateFrom–To(Month/Year) / ConductRecord
PREVIOUS EMPLOYMENT
Givefulldetailsofpresentandpreviousemployment(includingtelephonenumberswhereknown)includingfulldetailsofself employmentwhichmustbeverifiedbyaccountants,bankersorcompanieswithwhomyoutraded.Alsogiveexactdatesof unemploymentstatingtheofficeatwhichyouweresigningat.Startwithyourmostrecentemploymentandworkbackwards covering 5years where applicable.
Ref / Date(month/year) / Name/Addressof
Employers / JobTitle / Reasonfor
Leaving / Officeuse
only
From / To
E1 / TelNo: Contact: / PayRate
Salary
E2 / TelNo: Contact: / PayRate
Salary
E3 / TelNo: Contact: / PayRate
Salary
E4 / TelNo: Contact: / PayRate
Salary
E5 / TelNo: Contact: / PayRate
Salary
E6 / TelNo: Contact: / PayRate
Salary
E7 / TelNo: Contact: / PayRate
Salary
SELF EMPLOYMENT REFERENCES
In the case of self employment pleasegive trade referencesor names and addresses of personswhocanconfirm details (i.e.: Book Keeper,Accountant, Solicitor or companies withwhom you traded).
NAME……………………..……………….……………NAME……………………………………………………….
ADDRESS…………………………….………………..ADDRESS………………………………………………….
…………………………………………………..……….…………………………………………………………….…
……………………………………………………..…….………......
……………………………………………………..…….…….…………………………………………………………
Tel No:……………………………………………………Tel No:………………………….…………………………… From ………………………… To……………………….. From…………………………. To………..…………………
PERSONALREFERENCES
Please give details of two people, who have known you for a minimum of 2 years within the last 5 years whowe may approach
for references, and are notrelated to you and who donot reside at your address.
NAME………………………….…….…………NAME………………………………...…..…… ADDRESS……………………….……………. ADDRESS……………………………….……..
……………………………………………..………………………………………….……………..
…………………………………..……………………………………………………….………..
………………………………………...……….………………………………..………………… Tel: …………………………………………… Tel:………………………………………………
The name and address ofyour GP
HEALTHDECLARATIONFOR WORKING NIGHTS
I, , being an employee of Kendal
Security Services Ltd declare that:
I DO / DO NOT*suffer from any medical condition which may affect my suitability for employment, which may include night work. (* pleasedelete as applicable)
As a Night Time worker doyou wish to takeup the option of a free medical assessment – Yes / No
If you have answered that you DO SUFFER from amedical condition which may affect your suitability
For employment includingnight work, please give details:
You mayberequestedtoattend a consultationwith theCompany’smedical practitioner.
Signed: Date:
Kendal Security Services Ltd is an Equal Opportunity employer, committed to the principles of equality, and will
apply employment policiesthat are fair, equitable andconsistent with the skills and abilities of its employees and the needs of the business.
Please indicate to which ofthe followinggroups you belong. This information isstrictly confidential andwill not be used to identify you personally.
Asn/Asn Brit-BangladeshiAsn/Asn Brit-IndianAsn/Asn Brit-Pakistani Asn/Asn Brit-Any Other Asn Blck/BlckBrit-African Blck/Blck Brit-Caribbean Blck/Blck Brit-Any other Blck Chinese Mixed White/Asian
Mixed White/Blck AfricanMixed Wht/BlckCaribbean
Mixed-Any Other MixWhite-BritishWhite-Irish
White-Any OtherWhiteAny Other
Not Known/Not Provided