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Application Form

Personal Details

Surname: First Name:

Address:

Previous Address:

Telephone No: Mobile No:
Date of Birth: Nationality:
Married      
Single   RSI Number:
Widow(er)   English NI No:
Divorced      
       
Medical Record
Do you suffer from any physical or mental disorder? Yes:     No:
Details:
Do you have a drink / drug problem ? Yes:     No:
Days lost through illness in your last employment:  
Were you ever in hospital? Yes:     No:
Operations:
       
 
Education Record
  
(Please Detail All Education Undertaken)
Place of Employment From     To     Qualification Achieved
       
 
Employment Record
  
(State all employment since leaving full-time education)
Name of Employer:
Address:
From: To:
Position Held: Reason for leaving:
 
Name of Employer:
Address:
From: To:
Position Held: Reason for leaving:
 
Name of Employer:
Address:
From: To:
Position Held: Reason for leaving:
 
Name of Employer:
Address:
From: To:
Position Held: Reason for leaving:
       
Name of Employer:
Address:
From: To:
Position Held: Reason for leaving:
       
 
Service Record
  
 
First
Second
        Third
Service No.
Rank on Discharge:
Awards
Period Enlisted:
Discharge Reason:
       
First Aid:
Fire Fighting Experience/Training:
Certificates of Merit:
 
Have you ever been convicted of a criminal or a civil offence? Yes:     No:
Details:
Have you ever claimed personal injuries? Yes:     No:
Details:
Do you hold a current drivers licence? Yes:     No:
Catagories:
       
Please give the names and addresses of three people not related to you that we can approach for a reference:
Name:
Address:
 
Position:
Number of years known to you:    
Name:
Address:
 
Position:
Number of years known to you:    
Name:
Address:
 
Position:
Number of years known to you:    

I have made this application for the position of:

With Meath Security I have completed this application with true and honest answers to the best of my knowledge and belief.

I understand if offered employment, it will be on a probationary period of six months.
This period may be extended by three months at the discretion of the managment.
.

Signed: Date:


All Applications may be accompanies by a CV and/or copies of any reference you may wish to present.

The business may also require you to undergo a medical examination before or during your employment.

 

 

Meath Security Service
http://www.meathsecurity.ie/

Telephone: 046 75936    Fax: 046 23360     Mobile: 086 2470996
info@meathsecurity.ie