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©2007 Pinacl Solutions UK Ltd

Application Form

Personal Details

* Required Field

*Surname

*Title

*Forename(s)

*Known As

*Address

*Postcode

*Home Phone

*Mobile Phone

*Email

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*Position Applied For

Please give details of any previous applications made to Pinacl Solutions

Job Applied For

Date (approx)

Were You Interviewed?

 Yes    No

Outcome of Interview

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Description Of Current/Most Recent Job

*Detail responsibilities, career progress and any information relevant to the post for which you are applying. If you are employed, please include salary and benefits.

*Period of Notice Required in Current Job

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Further Information

*What attracted you to Pinacl Solutions, what can you bring to us and what do you expect the job to bring to you. Please include details on hobbies and leisure activities.

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Education & Qualifications

Subject

Certificate

(A Level/GCSE etc)

Grade

Date
Passed

Establishment

Additional Qualifications

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Employment History

Employer

Most Recent First

Job Title

Dates

From/To

Salary On Leaving

Reason For Leaving

Additional Employment

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Have you worked for Pinacl Solutions previously?

Post Held

Dates Of Employment

Manager

Department

Reason For Leaving

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Equal Opportunities Monitor

Pinacl Solutions UK Ltd is committed to developing positive policies to promote equal opportunities in employment and prohibiting unlawful or unfair discrimination on the grounds of an applicant's sex, age, marital status, race, colour, national or ethnic origin. In order to ensure these policies are carried out, and for no other purpose, all candidates are asked to provide us with the following information. All information gathered will be treated in the strictest confidence.

*Do you require a work permit to work in the UK?

 Yes    No

If yes, please provide the work permit number and expiry date

*Ethnic Origin & Nationality (Please indicate which ethnic origin and nationality you consider yourself to be)

 Asian Bangladeshi  Black African  Oriental Chinese  White
 Asian Middle East  Black Caribbean  Oriental Japanese  European
 Asian Indian  Black Other  Oriental Other  British
 Asian Pakistani  Other (Please Specify)  

Health Details (The following information is required in order that we can make any reason able adjustments as indicated in the Disability Discrimination Act 1995).

*General

*Specific

*Disability

Reg. No.

*Do you have any convictions for criminal activities? (other than those defined as "spent" under the Rehabilitation of Offenders Act 1974)

 Yes    No

If Yes, please give details

Note: A conviction becomes "spent" after a certain length of time which changes depending upon the sentence and the age of the person at the time of the conviction. If you have any doubts about declaring a previous conviction, please contact your local Probation Office, the Citizen's Advice Bureau or Solicitor.

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