DIRECT LINE SUPPLIES LTD by HC121005153646

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									                                   DIRECT LINE SUPPLIES LTD
                                      3-5- CANNON PARK WAY
                                          MIDDLESBROUGH
                                             CLEVELAND
                                               TS1 5JU
                                    E-mail: info@dlsne.co.uk

APPLICATION FORM
PERSONAL DETAILS

Job Applying For      Office Clerk: Administration jobs, Telesales, Order Processing, Customer Service,
Invoicing…

Date of Application

Name

Address



Telephone Number

Mobile Number

Date of Birth

Marital Status

Nationality

Do you need Work Permit to work in the UK (For Non British nationalities)?     Yes      No

EMPLOYMENT HISTORY
Present/Previous Employment

From                                       To

Name of Company

Address of Company

Position Held

Job Description

Reason for intended change of Employment
Previous Employment

     From                  To            Position Held      Employers Name and Address             Job Description




                                                                                                                      1

PERSONAL INFORMATION

Have you ever been convicted in a court of law of any country                         YES/NO

Have you ever been dismissed, discharged or suspended from employment                 YES/NO

Have you ever had, or are you suffering from any of the following:

Physical Impairment                                                                   YES/NO

Disease                                                                               YES/NO

Mental Illness                                                                        YES/NO

Medical Condition                                                                     YES/NO

If you answered yes to any of the above questions, please give details




Education and training History


Please list any training, qualifications or experience that you feel may help support you with this application
(use a separate sheet if applicable)




                                                                                                                  2
REFERENCES

May we write to the following for a reference

a)      Your present employer YES/NO

b)      Your previous employers YES/NO

CHARACTER REFEREES

Name two people who are not your relatives

                  Reference 1                                        Reference 2

Name

Address


Occupation

Years Known



I hereby declare that all the particulars given in this application are true to the best of my knowledge and belief, and I
have not wilfully suppressed any material fact


SIGNATURE OF APPLICANT

DATE



OFFICE USE ONLY




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