Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. (NB. References will only be taken if you commence employment with us)
I confirm that the information provided is this application is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfaction references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability fo the post and may form the basis of any subsequent personnel file.
This sheet will be seperated from your application form upon receipt and does not form part of the selection process. It will be retained by the Human Resources department purely for monitoring purposes.
Disability is defined as "physical or mental impairment, which has a substantial and long term adverse effect on a persons ability to carry out a normal day to day activities".