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Position applied for:
Have you applied to us before?
Yes   No
  »  If yes, please give details:
Notice required in current employment:

Personal Information

Telephone No:
Email Address:
Date of Birth:
Place of Birth:
Maritial Status:
Male   Female
National Insurance No:
Next of Kin Name:
Next of Kin Telephone No:
Next of Kin Address:

Universal Packing are an equal opportunities employer. In order to help us ensure that this policy
is being carried out, would you please provide the following information:

I would describe my ethnic origin as:

Other Information

Please explain any breaks in your employment record:
Please state the numbers of days sickness in last 12 months and reasons in each case:
Do you hold a current driving licence?
Yes   No
  »  If so, please give details:
Do you have any endorsements?
Yes   No
  »  If so, please give details:
Have you ever been convicted of any criminal offence?
Yes   No
  »  If so, please give details:
Have you ever been adjudged bankrupt?
Yes   No
Are you a registered disabled person?
Yes   No
  »  If yes, what is your reference number:
Do you have any objection to us checking details with previous employers?
Yes   No
What are your outside interests and hobbies?
Please add any information which you consider would support your application:

Employment History

Please give details of all positions held with current/most recent employer first. Enter the details of each employer, then click 'Save Jon Details', you can add as many jobs as you like.

Previous Company Name:
Previous Job Title:
Date Started:
Date Finished:
Reason for Leaving:

Please tick this box to confirm that the details given above are accurate and that you have not withheld any information which would affect your consideration of your application.

Please Note:  Please check the form, errors will be shown in red..