• This Application form when fully completed complies fully with BS7858:2012
  • Your Security Screening can only begin on completion of this Application Form.
  • The information supplied in this Application Form is (Strictly Confidential).
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  • Passport Copy attached*
  • Do you hold a current full/provisional driving licence?*
  • Do you hold a current SIA Licence?
  • Are you subject to Immigration Control?
  • Do you have an unrestricted entitlement to take up employment in the UK?
  • Have you ever been fined, cautioned, sentenced to imprisonment or placed on probation for a criminal act (subject to the Rehabilitation of Offenders Act)?
  • Are there any alleged offences outstanding against you?
  • Have you ever been made bankrupt or have any Court Judgements against you, whether satisfied or not, within the last 6 years?
  • Has any order been made against you by a Civil or Military Court or Public Authority?
  • Is there anything in your personal circumstances that would be detrimental to you working night shifts?
Personal Reference
Give the name and address of at least one person who has known you well for at least two years, is still in contact with you and who will provide a written reference. This person should have known you for at least two years and not be a previous employer, relative or resident at the same address as yourself.
  • Referee Name
    Tel No
    How long have you know referee?
    Post Code
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Starting with your last or present employer, give details of your employment history for the last 5 years, including details of full time education if it falls within that period. Include periods of self-employment and military service. For any periods of unemployment give the address of the DWP office to which you reported or the name of a person (not a relative) who can confirm your whereabouts.
  • Name and full address of current Employer or name of Job Centre / DWP Office
    Name *
    Position Held*
    Reporting To*
    Reason for Leaving*
    Unemployment/Employment Dates
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Give the name and address of at least one person who has known you well for at least two years, is still in contact with you and who will provide a written reference. This person should have known you for at least two years and not be a previous employer, relative or resident at the same address as yourself.
  • Name*
    Mobile Tel no*
    Work Tel no
    Home Tel no
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I certify that to the best of my knowledge, the information that I have given in my application for employment is true and complete and understand that any false statement or omission to the Company or its representatives may render lead to termination of employment without notice. 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 authorise the Company or its 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 consent to the Company’s reasonable processing of any personal information obtained for the purposes of establishing my medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Reports Act 1988, I consent to the results of such examinations to be given to the company and 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. 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.


The Company 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 the Company you consent to our processing personal data about you where this is necessary, for example information about your credit status, ethnic origin 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/or 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.


You are applying for a position of trust and in the event of being offered employment by the Company we apply for a Disclosure. However, having a criminal record does not necessarily bar you from employment. For more information ask a member of staff for a copy of the CRB Code of Practice/Disclosure Scotland and /or Company 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 allow the company to see a copy of the Disclosure. The Discloser 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.


Any offer of employment is subject to satisfactory screening, that the applicant consents to being screened and will provide information as required. That the information provided is correct and the applicant acknowledges that any false statements or omissions could lead to termination of employment.


Misrepresentation, or failure to disclose material facts, either during application or throughout employment may constitute grounds for withdrawal of an employment offer or termination of employment and/or legal action

  • Applicant Consent Signature *