Application Form
Position Applied for: .................................................................
Attached Documents: Signed Application Form []
Proof of ID [ ]
Proof of Address [ ]
Right to Work [ ]
Personal Information:
Title: Surname: .....................................................................................
Forename: ................................................................. Surname at Birth: ........................................................................
(If different from above)
Please Provide Last 5 Years address History
Address1: ............................................................... Postcode.................................. From ..................... to.......................
Address2: ............................................................... Postcode.................................. From....................... to......................
Telephone: ............................................................... Mobile: ........................................................................................
Nationality: ............................................................. Date and Place of entry into UK: …………………….............
Work Permit: .......................................................... National Insurance Number: .......................................................
(If applicable)
Passport Number: ........................................................................
SIA License Sector: ................................................ SIA License Number: .................................................................
Person to contact in case of emergency/Next of kin:
Relationship to next of kin: .................................. Name: ....................................................................
Address: ...........................................................................................................
................................................................................................................................................................................................
................................................................................ Postcode: ...................................................................
Telephone: ................................................. Mobile: ................................................................
Driving:
Type of Driving License: Own Transport:
License Number: ................................................... Have you ever been disqualified?
Any Motoring offences/convictions? – If yes, please provide description of your offence/s below..................................
.............................................................................................................................................................................................................
Criminal Convictions:
Have you, ever been fined, cautioned, 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
Have you, ever been made bankrupt or have any Court Judgements against you, whether satisfied or not, within the last 6 years?
Yes / No
Has any order been made against you by a Civil or Military Court or Public Authority?
If yes to either questions give details ……………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………
.
Doc No: APP.03, Issue Date:05/216, Issue: 1
Education:
Type of
Institute Name of Institute Address of Institute From To Grades
Equal Opportunities:
This section is voluntary and will NOT be used in assessing your application. MANAGEMENT SECURITY
SOLUTIONS LIMITED is an equal opportunities employer. If you decide to complete this section it will help
us to monitor the effectiveness of our Equal Opportunities Policy. Please tick the appropriate box below.
My ethnic origin is:
British
African
Asian
Caribbean
Chinese
White
Other
If other, please specify ..............................................................
Bank Details:
Bank Name: ............................................................................
Account Holder Name: ........................................................
Sort Code: …..........................................................……
Account No: ........................................................................
Employment: State all periods of employment, unemployment, and self-employment for the last 5
years or since leaving school. For any periods of unemployment, state the address of the Unemployment
Benefit Office at which you reported. Start with present situation.
Doc No: APP.03, Issue Date:05/216, Issue: 1
Employers Details: Employment Details: From: To: Reason for leaving:
Position:
Name:
Address:
Manager:
Postcode:
Salary:
Tel No:
Fax No:
Employers Details: Employment Details: From: To: Reason for leaving:
Position:
Name:
Address:
Manager:
Postcode:
Salary:
Tel No:
Fax No:
Reason for leaving:
Employers Details: Employment Details: From: To:
Name: Position:
Address:
Manager:
Postcode:
Tel No: Salary:
Fax No:
Employers Details: Employment Details: From: To: Reason for leaving:
Position:
Name:
Address:
Manager:
Postcode:
Salary:
Tel No:
Fax No:
Reason for
Employers Details: Employment Details: From: To: leaving:
Name: Position:
Address:
Doc No: APP.03, Issue Date:05/216, Issue: 1
Manager:
Postcode:
Tel No: Salary:
Fax No:
Doc No: APP.03, Issue Date:05/216, Issue: 1
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 and understand that any false statement or omission to MANAGEMENT SECURITY SOLUTIONS LIMITED
or its representatives may render lead to termination of employment without notice.
I confirm that the information I have provided on my application is true and complete to the best of my knowledge. I
Understand and agree that I will be subject to any or all the following checks: Address check, Financial Probity check
which company will retain on file, Id verification check, Academic / Professional qualification check, Employment
history, including any periods of unemployment/self-employment and any gaps, Criminal background check. 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 MANAGEMENT SECURITY SOLUTIONS LIMITED or its nominated agents to carry out financial history check
/credit check and approach Government agencies, former employers, educational establishments, for information
relating to and verification of my employment/unemployment record. I authorize MANAGEMENT SECURITY
SOLUTIONS LIMITED to make a consumer information search and ID checks with a credit reference agency, which will
keep a record of that search and may share that information with other credit reference agencies.
I consent to MANAGEMENT SECURITY SOLUTIONS LIMITED 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 MANAGEMENT SECURITY SOLUTIONS
LIMITED Subject to the Access to Medical Reports Act 1988, I consent to the results of such examinations to be given
to MANAGEMENT SECURITY SOLUTIONS LIMITED.
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. I understand that it may be a criminal offence to attempt to obtain employment by deception and that any
misrepresentation, omission of a material fact or deception will be cause for immediate withdrawal of any offer of
employment.
General Data Protection Regulations (GDPR) - MANAGEMENT SECURITY SOLUTIONS LIMITED 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 MANAGEMENT SECURITY SOLUTIONS LIMITED 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 and
to have any inaccuracies corrected.
Disclosure - You are applying for a position of trust and in the event of being offered employment by MANAGEMENT
SECURITY SOLUTIONS LIMITED we may 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
Doc No: APP.03, Issue Date:05/216, Issue: 1
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 MANAGEMENT SECURITY SOLUTIONS LIMITED to see a copy of the Disclosure. 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.
Screening - Any offer of employment is subject to satisfactory screening, that the applicant consents to being screened
in accordance with BS7858 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.
I confirm that my consent is explicit, fully informed, and freely given for the purposes of this job.
Applicant Name: ___________________________ NI Number: ____________
Applicant Signature: _________________________________ Date: __________________
Doc No: APP.03, Issue Date:05/216, Issue: 1
