Application form TitleTitleMrMrsMsMissDrOtherName Forename(s) Surname HiddenInterviewer: HiddenApplication number:: HiddenDate of registration MM slash DD slash YYYY HiddenPay rateHiddenPer hourHiddenGrading: HiddenSource: Position applied for Application date MM slash DD slash YYYY Post Title Address Street Address City County Postcode N.I. No. Date of birth DD slash MM slash YYYY AgeEmail Phone (home)(mobile/work)Name of next of kin Relationship Contact details Do you have the use of your own transport Yes No Are you prepared to work shifts/nights Yes No Do you have safety boots Yes No Boot size When are you available for work? DD slash MM slash YYYY Nationality Do you have an unrestricted right to work in the UK? Yes No Licence No. Expiry date DD slash MM slash YYYY HiddenSeen and copied by consultant Yes No LGV Licence class Expiry date DD slash MM slash YYYY HiddenCopy of Photo ID taken Yes No HiddenWork Permit Yes No HiddenPermanent, Temporary or Student Long term Short term Student Taxation StatusPlease tick your preferred employment status:(Required) P45 P38s Bank DetailsBank/Building Society Branch Address Street Address City Postcode Account in the name of Account number Sort code Paramount Personnel cannot accept responsibility for wrong or incomplete bank details given.Consent(Required) I confirm that the above bank details are correct and complete.Print name(Required) Date(Required) DD slash MM slash YYYY Career HistoryPlease start with most recent positionCompany Name Position and dutiesFrom: (month, year) DD slash MM slash YYYY To: (month, year) DD slash MM slash YYYY Address Street Address City County Postcode Telephone No.Type of business Reason for leaving Name and title of referee Reference (for consultant use only) Company Name Position and dutiesFrom: (month, year) DD slash MM slash YYYY To: (month, year) DD slash MM slash YYYY Address Street Address City County Postcode Telephone No.Type of business Reason for leaving Name and title of referee Reference (for consultant use only) We have a number of clients who require staff on a short term temporary basis i.e. weekends or one or two days at a time.Would you be happy to be listed for this line of work? Yes No Have you ever been or are you about to be convicted of a criminal offence? Yes No It is a disciplinary offence to later disclose a criminal convictionIf Yes please give dates and details:Qualifications, Training and Last School AttendedPlease give details:Declaration:Agreement(Required) I declare that to the best of my knowledge, all the information contained in this application is correct and I authorise Paramount Personnel to contact my previous employers for references. I also agree to be bound by Paramount Personnel’s terms and conditions of which I have signed and received a copyDate DD slash MM slash YYYY From time to time Paramount Personnel may allow carefully screened companies to contact you with services/products which may be of interest.(Required) Paramount may also enroll you as a member of a Trade Union at no cost to you. If you would prefer not be contacted by any such companies please tick this box. EmailThis field is for validation purposes and should be left unchanged. Δ
