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Character References - NBS Guarding

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					Personal Details:

Mr                         Mrs                        Miss                       Ms


Surname/Family Name: (as shown in your passport) ___________________________________________

First Name(s): ______________________________________________________________

(Any other name you are known as):____________________________________________

Full Current Address: ________________________________________________________

___________________________________________________________________________

Postcode: _______________ Email Address: _____________________________________

Dates at this address: From: (Please give month and year) ________________ To: Present

Home Telephone number: __________________ Mobile Number: __________________

Date of Birth: _____________________ Country of Birth: ________________________

Nationality: _______________________ National Insurance No: ___________________

Have you lived outside the UK for more than 6 months in the last 5 years? ____________

Date of entry into the UK: ________________________________________________

Visa details, if needed: Tier 1: ( ) Tier 4: ( ) Working Holiday: ( ) Spousal: ( )

Indefinite Leave to Remain ( ) Residence Card ( ) Visa Expiry Date: ________________

What kind of UK/EU driving licence do you hold? Provisional ( ) Full ( ) None ( )

Do you have your own vehicle? Yes ( ) No ( )

Interview Information:

Do you require any adjustments to enable you to attend or participate in an interview?

Yes No Details (If yes) ________________________________________

Night Work: (Some of the roles may require overnight work)

Would you be willing to work nights?                               Yes ( )           No ( )

Would any reasonable adjustments need to be made in order for you to carry out this position if it
was necessary to work overnight?

Yes ( ) No ( ) Details (If yes) ________________________________________




NBS. 08 Issue Date: 11/11/2011
Criminal Record Information:

Subject to the Rehabilitation of Offenders Act 1974, have you ever been cautioned or convicted
of a criminal offence?                                               Yes ( )        No ( )

If yes, please give brief details: __________________________________________________

______________________________________________________________________

Have any County Court Judgments been issued against you?                                Yes ( )       No ( )

If yes, please give brief details: ___________________________________________________

______________________________________________________________________

Have you ever been declared Bankrupt?                                                   Yes ( )       No ( )

If yes, please give brief details: ___________________________________________________

______________________________________________________________________

Security Qualifications: Do you hold any of the following certificates?

Do you hold any valid SIA Licences? Yes No

Licence number: __________________________ Date Expires: ______________________

Licence number: __________________________ Date Expires: ______________________

Have you passed the Level 2 training course for your SIA Licence(s)? Yes ( )                          No ( )

Is your training: (tick box only)

Door Supervision (          ) Security Guarding (         ) CCTV (        ) Close Protection (    )

Please give the awarding body: (E.g. IQ, Edexcel, NOCN or City & Guilds) __________________

Please give the award date(s): ___________________

Emergency Contact Details:

This information will only be used if you are accepted for training and/or employment

Name: ____________________ Their relationship to you: ____________________

Their phone number(s):

If you have lived outside the UK more than 5 years ago, please give your home (or family)
address:




NBS. 08 Issue Date: 11/11/2011
5 Year Employment and Education History:

Please account for the whole of the last 5 years, including unemployment, self-employment and education. If you were overseas during
any of this time please include the details, although it is your responsibility to provide references of employment for these periods. If you
were not working for any period, please state if you were unemployed and claiming benefit or, unemployed and unregistered.
Start with your current position and work backwards.

 Name and address of Employer or                                    Date                                    Reason for Leaving
       Place of Education

Current Company or Place of Education:          Start Date: (month and year)

Address:                                        Finish Date: (month and year)

                                                Position Held:

Post Code:                                      Position Held:

Telephone No:                                   Salary:
                                                                                                 If employer, can we contact them for a
Email:                                                                                           reference?                Yes/ No

Previous Company or Place of Education:         Start Date: (month and year)

Address:                                        Finish Date: (month and year)

                                                Position Held:

Post Code:                                      Position Held:

Telephone No:                                   Salary:
                                                                                                 If employer, can we contact them for a
Email:                                                                                           reference?                Yes/ No
Previous Company or Place of Education:         Start Date: (month and year)

Address:                                        Finish Date: (month and year)

                                                Position Held:

Post Code:                                      Position Held:

Telephone No:                                   Salary:
                                                                                                 If employer, can we contact them for a
Email:                                                                                           reference?                Yes/ No
Previous Company or Place of Education:         Start Date: (month and year)

Address:                                        Finish Date: (month and year)

                                                Position Held:

Post Code:                                      Position Held:

Telephone No:                                   Salary:
                                                                                                 If employer, can we contact them for a
Email:                                                                                           reference?                Yes/ No
Previous Company or Place of Education:         Start Date: (month and year)

Address:                                        Finish Date: (month and year)

                                                Position Held:

Post Code:                                      Position Held:

Telephone No:                                   Salary:
                                                                                                 If employer, can we contact them for a
Email:                                                                                           reference?                Yes/ No




NBS. 08 Issue Date: 11/11/2011
Character References:
A character reference must be someone who you have known for more than two years.
Do NOT include relatives, previous employers or persons residing at the same address as yourself.
We will approach them for a character reference if you are successful so please ensure that you gain their permission
prior to offering their names as character references.

Name:                                                        Name:

Address:                                                     Address:


Post code:                                                   Post Code:

Telephone:                                                   Telephone:

Relationship:                                                Relationship:

How long have you known this person?                         How long have you known this person?



Personal Statement:
Please use this opportunity to support your application, stating why you would like to work with NBS Guarding (UK) Ltd




Declaration and Consent:

I understand that if I am offered employment with NBS Guarding (UK) Ltd, I will be required to work day or
night shifts including weekends as determined by operational requirements;

I understand that employment with is subject to satisfactory references and security
screening in accordance with BS 7858 and I undertake to cooperate in providing any additional information
required to meet these criteria;

I understand, also in accordance with the above, original identity documents produced will be scanned with an ultra
violet lamp and any that appear to be forgeries will be reported to the relevant authority;

I authorise NBS Guarding (UK) LTD to approach previous employers, schools/colleges, character referees and
government agencies to verify the information I have provided is correct. I also understand and agree that if so
required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act
1835, in confirmation of previous employment or unemployment;

I authorise NBS Guarding (UK) LTD to make a consumer information search with a credit reference agency, which will
keep a record of that search and may share that information with other credit reference agencies; I understand that
some of the information I have provided in this application will be held on a computer and some or all will be held in
manual records. All information gathered will be handled in accordance with the Data Protection Act 1998;

I hereby certify that, to the best of my knowledge, the details I have given in this application form are complete and
correct and I understand that any false statement or omission to the Company may render me liable to dismissal
without notice.

Signed: _________________________                             Dated: __________________________

If you have not heard from us within 4 weeks of submitting your application, please consider that you have not
                                       been successful on this occasion.


NBS. 08 Issue Date: 11/11/2011

				
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