APPLICATION FORM ICTS GENERAL SECURITY

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Candidate Ref No: (Office use only) APPLICATION FORM ICTS GENERAL SECURITY ALL Sections must be completed in TYPE or BLOCK CAPITALS in black pen. PLEASE RETURN TO THE EMAIL OR POSTAL ADDRESS SPECIFIED IN VACANCY JOB NOTICE. Please ensure you attach copies of ALL the additional information requested, as incomplete applications will be rejected. Job title of vacancy you are applying for Location of vacancy you are applying for Surname Maiden First s Title Mr Mrs Miss Ms Other Post Code Tel No Mobile No Nationality Place of Birth ( inc. country ) National Insurance No. Email It is a requirement within our Aviation/General Security division that operational employees hold/obtain an airside pass, a Counter Terrorist Check and/or SIA licensing. In order to meet these requirements, you must be over 18. Please tick this box to confirm that you are over 18. (Operational Employees Only) Yes No Do you hold a current / valid passport? Yes No Passport No. Passport Nationality Do you require a Work Permit for the UK Yes No If yes attach a copy when returning this application If your nationality is NON-EEC please attach a copy of your Authority To Work In The UK when returning this application. If you come from an ACCESSION STATE and have been in the UK for less than 12 months please attach a copy of your Registration Certificate when returning this application. Do you have a current / valid driving licence? Yes No Licence No. If Yes, is it for Manual or Automatic vehicle Manual Automatic Do you have any current Endorsements? Yes No If Yes, give details Have you ever been fined, cautioned, sentenced to imprisonment, placed on probation, discharged on payment of costs, or had any order made against you by a criminal, civil or military court or public authority? Failure to disclose information in this regard (including any cautions) is regarded as a criminal act under the Fraud Act 2006 which carries maximum sentence of 5 years imprisonment Yes No If Yes, give details Have you applied to ICTS for employment before? Yes No If Yes, date of application Have you been employed by ICTS before? Yes No If Yes, location & date of leaving When can you start work? Do you have any holiday pre booked? Are there any adjustments we may need to make to assist you at interview? Yes No If Yes, give details Page 1 of 5

EMPLOYMENT & EDUCATION RECORD Start with the most recent and working backwards, please state details below ALL periods of: EMPLOYMENT / UNEMPLOYMENT / MILITARY SERVICE/ EDUCATION to cover the last 5 years. It is important that you give EXACT DATES and FULL name, addresses and telephone numbers to enable us to complete the necessary checks required. An incomplete background check may result in employment and/or completion of probationary period being denied. History #1: History #2: History #3: History #4: History #5: History #6: Page 2 of 5

History #7: History #8: PERSONAL REFERENCE Please give the names and addresses and telephone numbers of two personal friends who have known you for as long as possible (no less than two years), who will provide a written character reference. They should not be relatives or past employers. Occupation How long known? Occupation How long Known? Other qualifications, courses or training you have attended (Please include details of any courses which you are currently attending Including dates) Do you hold an SIA Licence? Yes No If Yes give Licence Have you applied for a SIA Licence? Yes No If Yes, give reference Have you ever been REFUSED a SIA Licence Yes No Have you ever used a computer, if so at what level? Never used Beginner Intermediate Advanced Briefly state why you would like to work in this job and add anything which you wish to support your application: Page 3 of 5

DECLARATION The information given in this application form, to the best of my knowledge, is correct. I understand that any false statement or omission will make me liable for immediate dismissal. Signed: Date: I authorise ICTS (UK) Ltd to approach Government agencies, former employers, educational establishments and personal referees for verification of my employment record and to store information relating to my application or future employment in accordance with the Data Protection Act. I authorise the Company 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. Surname Signed: First s: Date Page 4 of 5

ADDITIONAL INFORMATION REQUEST ICTS (UK) Ltd is committed to equality of opportunity in its recruitment and selection process to help achieve and maintain a diverse workforce. The criteria used for selecting the right candidate is based solely on merit and ability to do the job Please be assured that this section of the form will be detached from the application form upon receipt and the information provided will not be used as part of the selection process in any way. The information will be treated in confidence and will only be used for monitoring purposes. GENDER INFORMATION (Please tick the appropriate box) Female Male ETHNIC ORIGIN INFORMATION (please tick the box that most accurately describes you) These categories are not about nationality, place of birth or citizenship. They are colour and broad ethnic group orientated. WHITE British Irish European Any other White background please specify BLACK Caribbean African Any other Black background please specify ASIAN Indian Pakistani Bangladeshi Any other Asian background please specify MIXED Black Caribbean and White Black African and White Asian and White Any other Mixed background please specify OTHER ETHNIC GROUP Chinese Any other ethnic group please specify UNDISCLOSED I do not wish to disclose my ethnic origin --------------------------------------------------------------------------------------------------------------------------------- FOR ADMIN USE ONLY RJA RI NSI RJI OPRP OPAP KOF Page 5 of 5