Application Form|M4 Facilities Management

Employment Form

Personal Information

Photograph *

Choose file

Title

Forenames *

Surname *

Address *

Post code *

Date From Lived at This Address *

To *

Previous Addresses

Add New Record

Other Information

Home Phone No *

Mobile Phone No *

Email *

Date Of Birth *

Place Of Birth *

Nationality *

Martial Status *

Name & Address Of Next Of Kin *

Relationship *

Phone No *

Work Type *

Background Information

National Insurance Number *

Do you hold a current SIA Licence?

SIA Licence No

SIA Licence Expiry

Do you hold a First Aid Certificate under the Health & Safety at Work Act?

First Aid Certificate Expiry Date

Bank Details

Bank Account Number *

Sort Code *

Bank Name *

Account Holder Name *

Personal References

Referee Name *

Referee Address *

Referee Postcode *

Referee Phone *

Referee Occupation *

How Long Known *

Employment Record (Working History Upto 5 Years)

Add New Record

Criminal/Dismissal Record

Have you ever Appeared before a court charged with a Criminal, Civil or Military offence and been convicted including any Motoring offences have you any alleged offences outstanding?

Declaration

I understand that my employment is subject to satisfactory vetting and references in accordance with BS 7858.

I undertake to co-operate with M4 Facilities Management Limited in providing additional information required to meet these criteria I authorise M4 Facilities Management Limited and/or its nominated agent to approach previous employers, schools/colleges, character references or government agencies to verify that the information I have provided is correct.

I authorise M4 Facilities Management Limited to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies.

I hereby declare that the information I have provided is current and truthful and that any false statements on this Application Form shall be considered cause for dismissal.

I hereby certify that I have completed this Application Form myself and that I have read and understood and agree to abide by the above declaration.

Applicant Signature: *

I have read and agree to the decalration.