Please fill application in full, failure to do so may result in delay of interview.
Name
Email Address
Address
Postcode
Home Number
Mobile Number
Date of Birth
Contact Preferences EmailTelPost
Nationality
National Insurance Number
Emergency Contact
Relationship to you
Telephone number
Doctor’s Name
Doctor’s Number
Doctor’s Surgery & Address
Are we able to contact your references in advance? YesNo
Name of Contact
Company
Telephone
Dates worked for company
Please provide up to four most recent roles.
Company Name
Reason For Leaving
Job Title
Employed From
Employed To
Do you have your own transport to get to work? YesNo
Do you have a Driving License? YesNo
Do you have any avian pets at home? YesNo
Are you over 18? YesNo
AccountAgricultureTransportWarehouseAutomotiveConstructionPublic ServicesFood and BeverageHealth ServicesManufacturingAdmin/OfficeOther: (Specify)
Specify (if Other)
Company Name: PB Recruitment Solutions LTD
Document DP6: Consent declaration • Date: 12.07.2021 • Version: 1
By submitting this form I hereby give my consent to the Company to process the following information:
Date of birth
Contact details, including telephone number, email address and postal address
Experience, training and qualifications
CV
National insurance number
Identification – Videocall Screenshot
Salary Information
Doctors Details
Emergency Contact information
Sensitive personal data
Disability/health condition relevant to the role
Criminal conviction
Medical information incorporated within the medical questionnaire.
By submitting this form I consent to the Company processing the above personal data for the purposes described, including providing me with work-finding services and sharing data with clients and third parties for compliance and audit purposes. I understand that I may withdraw consent at any time.
I hereby confirm that the information given is true and correct.
I consent to my personal data and CV being forwarded to potential employers and hirers.
I consent to references being requested from my previous workplace(s) and to references being passed onto potential employers and hirers.
If, during the course of an assignment, the client (i.e. hiring company) wishes to employ me direct, I acknowledge that PB Recruitment Solutions will be either entitled to charge the Client an introduction fee, or to agree an extension of the hiring period with the Client.
Print Name
Signature of Candidate
Date
PB Recruit