BlueVision Technology Ltd
In association with
Advanced Media Information Ltd
Please complete this form legibly and return as soon as possible.
ONLY INFORMATION PROVIDED ON THIS APPLICATION FORM WILL BE CONSIDERED BY THE PANEL.
Curriculum vitae alone will not be accepted. Candidates will outline clearly how their qualifications and
experience meet both the essential and preferred requirements. All information given will be treated with
the strictest confidence. Continuation sheets may be added if necessary.
1. POSITION APPLIED FOR Salesperson Appointment Maker
(Please Tick as applicable)
2. PERSONAL DETAILS
Surname: Telephone number (Home):
Forenames: Telephone number (Mobile)
Dr/Mr/Mrs/Ms: Telephone number (Work):
Do you have the right to work in the UK? Yes No
Note: the company might ask for proof of this right before an
offer of work can be offered or confirmed – e.g. Birth certificate
and/or any other appropriate document required to confirm
your right to work in the UK as required by the Asylum and
Immigration Act 1996
Do you have a clean, current driving licence? Yes No
Have you a car/ access to a car for business Yes No
Do you have access to a Laptop? Yes No
From To Type of School Examinations taken and Qualifications Gained
(i.e. Grammar/ (Specify Grades)
4. FURTHER/ HIGHER EDUCATION
From To Name of Institution Subjects Taken and Qualifications Gained
(state if Full – or- Part (Specify Grades or Degree Class Obtained)
5. MEMBERSHIP OF PROFESSIONAL ORGANISATIONS
Date Joined Institute/ Organisation Grade Of Membership (Where appropriate)
6. EMPLOYMENT RECORD (Please list chronologically, starting with current or last
Name and From: Job Title: Final Salary and
Job Function/ Responsibilities: Reason for Leaving
Nature of To:
Details of training courses attended and awards achieved, including dates, if
8. DISABILITY DISCRIMINATION ACT 1995
Section 1 of this Act describes a disabled person as a person with a ‘physical or
mental impairment which has a substantial or long-term effect on his/her ability to
carry out normal day-to-day activities’.
Using this definition, would you consider yourself to be disabled? Yes No
(please tick as appropriate)
If yes, do you require any special arrangements to be made to assist you if called
Please provide details:
Please give the details of two work related referees, including your current or
most recent post. Referees will not be contacted without your prior approval.
Telephone No.: Telephone No.:
Nature of Relationship: Nature of Relationship:
10. VERIFICATION OF INFORMATION
I certify that all information which I have provided is correct. I understand that
any false information given may result in a job offer being withdrawn.
Agreement for the Provision for Services
Made between: BlueVision Technology Ltd
and _______________________(Salesperson/Appointment Maker).
We are pleased to confirm the Terms and Conditions of our Agreement
under which we will retain your services as a salesperson/Appointment
1. As agreed, these services will be to sell advertising space on the
AMI touch screen information kiosks. I, ______, hereby confirm
that when acting as a Salesperson on behalf of BlueVision
Technology Ltd and the Ask AMI Kiosks, I am operating in the
capacity of an Independent Contractor.
2. As agreed, BlueVision Technology Ltd will pay a commission of
£80 for each Customer obtained by myself (Providing certain
minimum criteria are met. This fee can also be increased, again, if
certain criteria are met). Appointment Makers can expect a fee of
£30 per converted calls. (This fee can be increased if certain
conditions are met).
3. I will be personally liable for my own Tax deductions and National
Insurance contributions, and the Company will disclose to the
appropriate authorities any payments made to me if and as required by
4. I am considered to be self-employed, and am therefore not governed
by, or entitled to, any standard conditions of employment. I will not be
entitled to paid leave of absence for the reasons of sickness, injury,
and holiday, or for any other reason.
5. I should take all reasonable steps to safeguard my health and safety
and that of any person who may be affected by my actions at work. I
must co-operate with the Company so that this requirement can be
6. I acknowledge that the Company has advised me that the remuneration
for my business is commission based only. I agree that unless
expressly stated or otherwise in this agreement, all expenses incurred
by me in carrying out my obligations under this agreement, including
but not limited to the cost of facsimiles, telephone calls, postage and
travelling expenses, will be borne by myself.
7. The Company’s business will take precedence over all other business.
Hours worked will be such that it will enable me to provide the agreed
services to the satisfaction of the Company. None of this precludes me
from providing services elsewhere, which are declared to the
Company, and which are not in competition with the Company.
8. If any of my work is unsatisfactory, I will be expected to complete the
work to the satisfaction of the Company at no extra charge.
9. Either party may withdraw from the Agreement by first giving written
notification to the other party of this intent; any such withdrawal will
be with immediate effect.
10.I must not disclose either during, or subsequent to my rendering of
services to the Company, any secret or confidential information which
I became privy to, regarding the Company or any of its Clients.
11.In all correspondence and other written matters in relation to this
appointment, I will clearly indicate that I am acting as an independent
agent for the Company. This agreement embodies the entire
understanding of both Parties as to its subject matter and there are no
Terms, Promises, Conditions or Obligations, oral or written, express
or implied, other than those written here.
12.I will not at any time cause or effect to bring the Company’s name into
disrepute through my actions or words.
If any queries arise relating to these conditions I will contact the
Company so that the matter(s) can be clarified to my satisfaction.
I will not disclose any secrets or other information of a confidential
nature relating to the Company or its business, including but without
limitation to details of the Company’s business methods, fees charged,
marketing and advertising programmes, costing, budgets or any other
financial information, or in respect to any confidence which the Company
owes to any Third Party, during or after my service agreement except in
the proper course of my duties or as required by Law.
Any documents or tangible items which belong to the Company,
including but without limitation to lists and particulars of Clients and
their contracts, policies and documents, electronically stored or
otherwise, which may contain confidential information must not be
removed from the Company’s premises without proper authorisation, and
in any event must be returned to the Company upon request or upon the
termination of my services.
If so requested by the Company, all confidential information, other
documents and tangible items which contain or refer to Company
business that are in my possession or my control will be permanently
deleted from computer memory or destroyed.
(On behalf of the Company)
I acknowledge receipt of this Agreement and confirm acceptance of the
terms and conditions contained therein.