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APPLICATION FORM

PRIVATE AND CONFIDENTIAL

Name and Contact Details

 Application Date 10/08/2022  Position  
 Name  Surname
 Mobile  NI Number:
 Email
 SIA Licence #  Expiry Date
 Driving Licence  Clean Licence

 

Current Address and Previous Address

 Current address
 Date Moved In?  Date Moved Out?
 Previous (less than 5 years)
 Date Moved In?  Date Moved Out?

5 Years Employment History/College/Back to School

 Start date Finish date  Employer name  Job Title
* * * *
Telephone* Email*

 

 Start date Finish date  Employer name  Job Title
 
Telephone Email

 

 Start date Finish date  Employer name  Job Title
 
Telephone Email

 

 Start date Finish date  Employer name  Job Title
 
Telephone Email

 

 Start date Finish date  Employer name  Job Title
 
Telephone Email

Current Training/Education

 Month/Year Provider  Qualification Gained
   
   

 

County Court Judgement History

Give details

 

Criminal Record

 Give details

 

The Working Time Directive

Dear Sirs, I, the undersigned, understand that I may opt into or out of the Working Time Regulations (as detailed in the Working Time Regulations Policy and Guidance). I acknowledge that consistently working more than 48 hours per week for 6-months of the year or more may damage my health. I understand that I can withdraw from this agreement by giving 1 months’ notice in writing that I no longer wish to work beyond 48 hours in each week when this time is measured and averaged over a 17-week period. During each week whilst this declaration remains in force, I agree to keep my timesheet updated to keep an accurate record of the hours I work. I understand that these records will be retained for a minimum of two years.

I wish to of the working time directive. 

Signed:

Declaration

Declaration of Applicant

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 Outmanage Limited ("OMS") or its representatives may 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 OMS or its agents to approach Government Agencies, former Employers, Educational Agencies, Criminal Justice Agencies and Personal Referees for information relating to the verification of my employment / unemployment record. I consent to OMS 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 OMS. Subject to the Access to Medical Reports Act 1988, I consent to the results of such examination being given to OMS and authorise OMS to make a consumer information search with a credit agency, which will keep a record of that search and share information with other credit reference agencies. I further declare that any documents I provide as proof of my identity, proof of address, proof of right to work and any other documents 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.

Data Protection

OMS will use the information you have given on your application form (together with any information that we may obtain 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 OMS, you consent to our processing personal data about you where this is necessary, for example information about your credit status, ethnic origin or any 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 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.

Disclosure

You are applying for a position of trust and in the event of being offered employment by OMS, we may apply for a Disclosure (Note: having a criminal record does not necessarily bar you from employment). For more information please ask a member of our staff for a copy of the DBS Code of Practice and 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 OMS to see a copy of the Disclosure. The Disclosure information is not retained and is disposed of within the timescales recommended in the DBS Code of Practice. By signing above, you agree to this process.

Screening

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 a termination of employment. 

National Insurance Number:  

Signed:

Please read the declarations below before signing - I confirm that my consent is explicit, fully informed, and freely given for the purposes of the Act.

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: OMS Group UK - Application
lock iconUnique Document ID: c236dab3f9923c68aec114978eebbdfc6612f374
Timestamp Audit
18/03/2022 13:10 BSTOMS Group UK - Application Uploaded by Luke Glenet - [email protected] IP 212.159.178.112
18/03/2022 13:12 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:13 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:16 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:17 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:28 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:29 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:31 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:33 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:33 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:34 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:34 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:35 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:36 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:37 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:38 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:41 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:44 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:45 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:47 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:48 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:50 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:53 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:55 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:56 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:56 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:58 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:01 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:05 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:06 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:06 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:07 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:09 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:09 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:12 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:12 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:22 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:25 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:25 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:38 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:39 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:41 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:42 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:43 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:46 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:46 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:49 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:57 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:01 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:03 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:06 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:09 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:10 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:26 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:28 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:30 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:30 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:32 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:38 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:44 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:00 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:05 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:06 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:07 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:08 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:09 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:18 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:18 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:26 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:27 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:29 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:29 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:30 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:30 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:33 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:33 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:52 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:52 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
07/04/2022 14:54 BSTGerry McEntee - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
07/04/2022 14:54 BSTLuke Glenet - [email protected] added by Luke Glenet - [email protected] as a CC'd Recipient Ip: 212.159.178.112
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