PERSONAL

Surname: / Do you hold a current driving licence
YES/NO
Other Names: / If so, what type is it? (Please tick all box(es) that apply)
Provisional
Full
Address:
Postcode: / LGV
PCV
Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK? Yes/No
If yes, please provide details here:
Telephone numbers
Home:
Do you already know anybody that works at Harrod UK?
If so, who?
Mobile:
Have you ever been interviewed for a job here in the past? YES/NO
If YES, when and for what job?
Email address:
Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974? YES / NO
If so, please provide details:
VACANCY APPLIED FOR
Position applied for: / Pay expected: £ per
How did you hear about this vacancy?
Would you work full time? YES / NO.
If part time, state days / hours:
What date will you be available for work?
If offered this position, will you continue to work in any other capacity? If so, please provide details.
Have you previously worked for us? YES / NO. If YES, when and what was the reason for leaving?

EDUCATION DETAILS

Schools Attended / Examinations and results
College/University / Courses taken, results and dates obtained
Other education and formal training / Courses taken resultsand dates obtained

Professional membership and qualifications:

EMPLOYMENT HISTORY

Please give details of all jobs held including part time and unpaid work, starting with your current or most recent employer, continuing on a separate piece of paper if necessary.

Name and address of company and type of business: / Start and Finish dates; and Reason for leaving
Describe the work you do/did:
Telephone:
Name and address of company and type of business: / Start and Finish dates; and Reason for leaving
Describe the work you did:
Telephone:

Please outline the skills and experience you have gained through paid employment and other work activities and interests which are relevant to your application for this job:

PERSONAL REFERENCES

Please give details of two people, preferably former employers, possibly teachers or other professional people - but not relatives or friends - who we could approach for references.

No approach will be made until a provisional offer of employment is made to you.

Name: / Name:
Occupation: / Occupation:
Address: / Address:
Postcode: / Postcode:
Telephone No: / Telephone No:

DATA PROTECTION STATEMENT

The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.

If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us and to provide you with information about us or third party via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.

We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain other parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.

By signing the application form we will be assuming that you agree to the processing of sensitive personal data (as described above), in accordance with our registration with the Data Protection Commissioner.

DECLARATION.

I confirm that to the best of my knowledge the above information is correct. I accept that if I am successful in my application, providing deliberately false information could result in my dismissal.

Signature______Date: ______

Page 1 of 4Rev 5June 2013