The Shore Group Dalbiac House, Cromer Road, 1 st Floor Room 1062 Heathrow Airport TW6 1SD

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1 The Shore Group Dalbiac House, Cromer Road, 1 st Floor Room 1062 Heathrow Airport TW6 1SD The following paperwork is required to process your application for an airside (Blue) pass: In-date Passport, ID card or Driving Licence National Insurance Card or a Letter from HMRC Bank statement/utility bill dated within the last 3 months UK DBS Disclosure / Scotland CRB If you have worked abroad in the last 5 years, an overseas disclosure is required If self-employed need accountant address. (This must be their company ) Gsat (Security Test) 5 year work history (dates, company name, s, addresses) Or friends who can verify your whereabouts (cannot be your partner, or work or live with you) Please assist us to process your pass quicker by providing us with the above information, and completing the form below in full. Thank you.

2 The Shore Group Dalbiac House, Cromer Road, 1 ST Floor Room 1062 Heathrow Airport TW6 1SD Position Applied for: Application for Employment Location: Personal Details Surname: First Names: Other Names on your ID: Previous Surname: (if applicable) Place of Birth: Nationality: Date of Birth: Gender: NI Number: Entitled to work in the UK: Yes/No 1. Current Home : Home : Mobile: Specified Passport/EU ID Card/Driving Licence: (Please provide a copy of your Passport/ EU ID Card) Post Code: Passport No/ Driving Licence No/ EU ID Card No: Date Moved in: es covering last Five Years 2. Previous 3. Previous 4. Previous Dave moved in: 5. Previous 6. Previous Dave moved in: 7. Previous

3 Reference Information: Employment, Self Employment, Education, Gap Last Five Years 1. Current Employer/Education Establishment/Gap 2. Previous Employer/Education Establishment/Gap Current Salary Final Salary & & 3. Previous Employer/Education Establishment/Gap 4. Previous Employer/Education Establishment/Gap Final Salary Final Salary & &

4 Reference Information: Employment, Self Employment, Education, Gap Last Five Years 5. Previous Employer/Education Establishment/Gap 6. Previous Employer/Education Establishment/Gap Final Salary Final Salary & & 7. Previous Employer/Education Establishment/Gap 8. Previous Employer/Education Establishment/Gap Work/ Education History Final Salary Final Salary & &

5 Emergency Contact Name: Emergency Contact : Emergency Contact : Advertising Source Please state how you learned of our vacancy Shore Group Website Careers Fair Local Press Total Jobs Website Leaflet Other, Please specify Driving Licence If you are applying for a position which requires you to drive a Company vehicle, please complete this section Licence Number: Category: B, C, C1, C+E, Other.. Please Circle Issue Date: Expiry Date: Do you hold a digital tacho card? Yes/No Do you have a driver CPC qualification Yes/No Please give details of any Endorsements/Convictions Offence Code Date Points Fine Educational, Technical and Professional Qualifications, CSCS, JIB, ECS, JIBPMES, SSSTS, SMSTS, IPAF, PASMA, ETC School or Institution / Training Subject / Card Type Result / Card number. Expiry Supporting Information In the space below, please highlight yours skills, knowledge, experience and achievements and describe your interest in the position for which you are applying, ply any others matters which you consider relevant

6 Declaration I declare that this information is complete and accurate and I understand that if any statement, or document provided, is subsequently found to be false, the application shall be void and as a result, any contract arising may be terminated by the Company at any time. I give my consent for the information contained in this application form to be processed and held in accordance with the Data Protection Act I authorise the Company to take up references and acknowledge that any offer of employment is subject to satisfactory references. Signature of Applicant Date.. Information Release Form Please read the following statements carefully and sign below I understand and agree that my appointment is conditional upon the verification, to the Company s satisfaction, of the information provided on the form, and that this information, and that contained on attached documents is true and complete to the best of my knowledge. I also understand that I may incur civil and/or criminal liability if I attempt to obtain employment by deception and that any misrepresentation or omission of a material fact will be cause for immediate cancellation of consideration for employment, or for dismissal if already employed. I hereby authorise the Company, or the Referencing Agency acting on its behalf, to verify information presented on this form, and, to the extent permitted by law, to procure investigative and credit reports for that purpose in the UK, and, if appropriate, overseas. I also voluntarily authorise the Company, or The Referencing Agency acting on its behalf, to perform reference checks of my employment, including my current employment and DSS/Benefits agencies to verify periods of unemployment where applicable. Signature.. Full Name.. Date. Previous/Maiden Name.

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