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APPLICATION FORM

PRIVATE AND CONFIDENTIAL

Name and Contact Details

 Application Date 01/12/2023  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
   
   

 

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 offenses. 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.

Signed:

 

Judgement History

CCJ's?
 Criminal Record

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.

Signed:

 

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

I understand that employment with this company is subject to references and screening in accordance with BS 7858. 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 of the following checks: Address check, Financial probity check which the company will retain on file, ID verification checks, Academic/professional qualification check, Employment history, including any periods of unemployment/self-employment and any gaps, and Criminal background check. I authorize the company or its agents to approach government agencies, former employers, and educational establishments, for information relating to and verification of my employment or unemployment history, a consumer information search, and an ID check with a credit reference agency, which will keep a record of those searches in line with current legislation. I further declare that any documents that I provide as proof of my identity, proof of address, and any other documents that I provide are genuine and that any falsified documents may be reported to the appropriate authority. I understand that it may be a criminal offense 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. I accept that I may be required to undergo a medical examination where requested by the company. 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 understand that any false statement or omission to the company or its representatives may render me liable to dismissal without notice. By signing this declaration, I agree that I have provided complete and true information in support of the application and that I understand that knowingly making a false statement for this purpose is a criminal offense.

Screening

The applicant consents to be screened in accordance with BS 7858 and will provide information as required. Any offer of employment is subject to satisfactory screening and the applicant acknowledges that any false statements or omissions could lead to 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: a04f9704bc80ddec0b626fec997bb48c7378110d
Timestamp Audit
18/03/2022 13:10 GMTOMS Group UK - Application Uploaded by Luke Glenet - admin@sign.oms.co.uk IP 212.159.178.112
18/03/2022 13:12 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:13 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:16 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:17 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:28 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:29 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:31 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:33 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:33 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:34 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:34 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:35 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:36 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:37 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:38 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:41 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:44 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:45 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:47 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:48 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:50 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:53 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:55 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:56 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:56 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 13:58 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:01 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:05 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:06 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:06 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:07 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:09 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:09 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:12 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:12 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:22 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:25 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:25 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:38 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:39 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:41 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:42 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:43 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:46 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:46 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:49 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 14:57 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:01 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:03 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:06 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:09 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:10 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:26 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:28 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:30 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:30 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:32 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:38 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 15:44 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:00 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:05 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:06 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:07 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:08 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:09 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:18 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:18 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:26 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:27 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:29 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:29 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:30 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:30 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:33 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:33 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:52 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
18/03/2022 16:52 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
07/04/2022 14:54 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
07/04/2022 14:54 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
25/01/2023 22:10 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
25/01/2023 22:10 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
25/01/2023 22:13 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
25/01/2023 22:13 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
25/01/2023 22:15 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
25/01/2023 22:15 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 79.76.119.134
02/03/2023 14:47 GMTGerry McEntee - gm@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
02/03/2023 14:47 GMTLuke Glenet - lg@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
25/10/2023 14:06 GMTHuman Resources - hr@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
29/11/2023 10:30 GMTGerry McEntee - gerry.mcentee@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
29/11/2023 10:30 GMTHuman Resources - hr@oms.co.uk added by Luke Glenet - admin@sign.oms.co.uk as a CC'd Recipient Ip: 212.159.178.112
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://sign.oms.co.uk/
Audit Trail Serial# f19de3224761bf170ae88d54bd9a9bac