Security Force Management Ltd

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1 The Annexe, Fort Pitt Business Centre, New Road, Rochester, Kent. ME1 1DX APPLICATION FORM Title: Mr/Mrs/Ms/Other Surname: Home Tel: Mobile: Present Forename(s): Maiden/Former Work Tel: Please state ALL previous addresses where you have lived in the past five years: Applied For: National Insurance No: Place of Birth: Date of Birth: Marital Status: Gender (please tick) Male: Female: Nationality: Do you hold a current driving licence (please tick) Yes: No: Please state any driving convictions in the past 5 years: Are you subject to Immigration Control? Yes: No: Do you have unrestricted entitlement to take up employment in the UK on a self-employed basis? You must provide evidence to support this. Yes: No: Have you ever been fined, sentenced to imprisonment or placed on probation for a criminal act (subject to the Rehabilitation of Offenders Act) Yes: No: Are there any alleged offences outstanding against you? Yes: No: If yes to either of the previous two questions, please give details: Have you ever been declared bankrupt, had any county court judgements made against you or entered into an individual voluntary arrangement with creditors (IVA) Yes: No: If yes please give details: Signature: Date: Page 1 of 8

2 Name and Full Address of Previous Employers Details Unemployment Employment Dates (Month/Year) PLEASE PROVIDE A FULL 5 YEAR EMPLOYMENT HISTORY. WITH NO GAPS FULL POSTAL ADDRESSES AND START AND FINISH DATES PLEASE Signature: Date: Page 2 of 8

3 Name and Full Address of Job Centre attended Details Unemployment Employment Dates (Month/Year) PLEASE PROVIDE A FULL 5 YEAR EMPLOYMENT HISTORY. WITH NO GAPS FULL POSTAL ADDRESSES AND START AND FINISH DATES PLEASE Signature: Date: Page 3 of 8

4 Name and Full Address of School/College attended Security Force Management Ltd Details Unemployment Employment Dates (Month/Year) PLEASE PROVIDE A FULL 5 YEAR EMPLOYMENT HISTORY. WITH NO GAPS Student ID: FULL POSTAL ADDRESSES AND START AND FINISH DATES PLEASE Student ID: Student ID: Signature: Date: Page 4 of 8

5 Have you completed any relevant training courses? If so please detail below: Do you hold any SIA licenses? If so please provide details and your licence number(s) below: T-Shirt Size Med: Lrg: XL: XXL: XXL: Jacket / Coat Size Med: Lrg: XL: XXL: XXL: Bank Details Bank/Building Society Name of the Account Holder: Sort Code: Account number: Signature: Date: Page 5 of 8

6 PERSONAL REFERENCES Give the names and addresses of two people, who have known you well for at least two years, are still in contact with you and who will give us a written reference. They should not be relatives or live at the same address as you. Tel No: Occupation: How long known: Tel No: Occupation: How long known: Next of kin details: Full name: Relationship to you: Contact number: Please make sure the office is updated with any change of contact number. Signature: Date: Page 6 of 8

7 DECLARATIONS I certify that to the best of my knowledge, the information that I have given in my application for employment is true and complete. I 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 authorize the company or it s agents to approach Government agencies, former employers, educational establishments, criminal justice agencies and personal referees for information relating to and verification of my employment/unemployment record. I understand that if SFM Ltd are unable to complete full security screening within 12 weeks any/all employment with SFM will end. I further declare that any documents that I provide as proof of my identity, proof of address, proof of right to work and any other documents that I provide are genuine and give my consent for these documents to be examined under a UV scanner or similar device. I acknowledge that any falsified documents may be reported to the appropriate authority. SUB-CONTRACTORS DECLARATION I declare that any payments made to the sub-contractor, i.e. myself, by SFM Ltd will be without any deductions. That I, the sub-contractor, will be fully responsible for the settlement of any income tax or national insurance due to be paid to the relevant agencies whilst employed as a subcontractor for SFM Ltd and fully aware that this declaration and any other details about monies paid to myself will be accessible to these agencies at any time. Under this agreement if I cannot fulfil the contract then I may send a suitable substitute in my place at my expense. I will be responsible for my work and each contract is a fixed price. I will ensure that I hold the correct training certificates for the work undertaken, and these will be at my expense. DATA PROTECTION ACT 1998 Security Force Management Ltd will use the information you have given on your application form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment. It may be necessary to disclose your information to our agents and other service providers. By returning this form to us you consent to our processing sensitive personal data about you where this is necessary, for example information about your health, your credit status, ethnic origin, qualifications or criminal offences. You also consent to the transfer of your information to your current and future potential employers where this is necessary (this may be to companies operating abroad if you apply for work outside of the United Kingdom). Your information will be held on our computer database and in our paper filing systems. By signing below you agree to this process and confirm that you do not have a criminal record subject to the current Rehabilitation of Offenders Act and any amendments. You have the right to apply for a copy of your information (for which we may charge a small fee) and to have any inaccuracies corrected. DISCLOSURE To verify gaps in your employment record we may ask for your permission to apply for a Disclosure. You are applying for a position of trust and in the event of your being offered employment by Security Force Management Ltd or one of its clients we may apply for a Disclosure. However, having a criminal record does not necessarily bar you from employment. For more information ask one of our helpful staff for a copy of the CRB Code of Practice and/or our policy statement regarding ex-offenders. Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. By signing this document you agree to show a copy of the Disclosure to your employer on request. The Disclosure information is not retained i.e. it is disposed of within the timescales recommended in the CRB Code of Practice. By signing below you agree to this process. Name (printed): NI Number: Signature: Date: Page 7 of 8

8 Opting out of the 48 hour working week. I.. agree that I may work for more than an average of 48 hours a week. If I change my mind, I will give my employer 4 weeks notice, in writing, to end this agreement. Signed.. Dated Signature: Date: Page 8 of 8

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