Address: Sopwith Way, Drayton Fields, NN11 8PB, Daentry !ome tel" no: #$%&'(%')(% *o+ile tel" no: #$%&'(%')(% Date o, Birth and Age: 1-.11.1-8&, Age: )8 Area Pre,erred: Northamptonshire /wn Transport: 0es.No Type o, transport: 1ar *otor2y2le /ther Physi2ally ,it : 0es. No !eight: 1,8#2m Smo3e 0es.No Nationality: 4ree3 Any 2riminal 2oni2tions : 0es .No 5, yes, please spe2i,y Any driing endorsements: 0es.No 5, yes, please spe2i,y 1an start wor3 ,rom: 11.#'.)#1( *arried. Single No o, 2hildren Are you prepared to wor3: Shi,ts 0es.No Nights 0es.No Wee3ends 0es.No P67AS7 158167 5ND9ST85A6 W/8: 7;P7857N17 AND S:566S B76/W Driing LGV HGV1 HGV2 PSV Multi-drop Dumper Forklift-counter Balance-reach 5ndustrial Lights unskilled Hea!" unskilled Machine op Production line #perati!e $arehouse Picking Packing Food production Super!ision 7ngineering Machine operator %lectronic &'D &(& operator &(& programmer Grinding Milling Fanuc control %lectrical engineer Mechanical engineer *e2hani2al $elding M)G *)G &oded Pipefitting Sheet metal Fitting Fa+ricating Mechanic Building Brick la"ing &arpentr" Ground ,orker La+ourer &rane licence Sur!e"or !ae sa,ety e<uipment Boots Hat #!erall P67AS7 158167 1/**7815A6 W/8: 7;P7857N17 AND S:566S B766/W 1omputer $ord %-cel Po,erPoint Lotus 12. 'ccess &lait %mail )nternet /,,i2e /eception Secretarial S,itch+oard Filling 'dministration *elesales A22ounts Bookkeeping Purchase ledger )n!oicing Pa"roll &omputerised s"s Sage Sales Shop assistant Management Field sales Door to door 1are &hild minding &are ,orker !ospitality &hef Bar $aitress &atering manager Basic food h"giene 0es1(o Manual handling 0es1(o First 'id 0es1(o A5*S =/B>71T5?7S What are you looking for? What are you prepared for? Please circle those that describe your needs the most Permanent1*emporar" Managerial1*echnical1 &are1%ngineering1Factor" 12ualit" assurance1Finance1Logistics1Sales1)*1factor" ,ork1,ork ,ith food1outdoors1in an office1in a ,arehouse1other3 Full time1Part time Holida" 4o+ Please describe in your own words what are you looking for? ) am looking for a 4o+ that ,ill gi!e me not onl" present5 +ut also future prospects ,ithin the compan"5 team ,orking and a lot of challenges to sol!e to6 This in,ormation is a22urate and 5 authori@e ASAP ltd to ta3e up re,eren2es in 2onne2tion with this appli2ation ,or employment Signed:AAAAAAATsallos PanagiotisAAAAAAAAAAAAAAAAAAAAAAAAAA Date:AAAAAA1#.#'.)#1(AAAAAAAAAAAAAAAAAAAAAAAAAAAAA Page 1 of 4 3 CHURCH PASSAGE, BRIDGWATER, SOMERSET TEL:01278422600 FAX: 01278423312 Confidential Registration for Recruitment SW Ltd 6AST T!877 T8A5N5N4 7STAB65S!*7NTSBS1!//6S = 1/66747SC %sta+lishment Dates from-to &ourse #utcome P67AS7 S9PP60 NA*7S AND ADD87SS7S /F TW/ 87F7877S 16 &hristos *7allas5 #,ner of (e, %uroline Ltd5 Sop,ith $a"5 Dra"ton Fields5 ((11 8PB5 Da!entr"5 *el6 9::8;.11::8 26 George <atsos5 $ood Green5 N22 8LE, London, Tel. 07442048896 7D91AT5/N AND T8A5N5N4 T/ DAT7BT51: AND SP715F0 AS APP8/P85AT7C G&S% # le!el ' le!el Degree = = H(& H(D 'pprenticeship #ther P87?5/9S 7*P6/0*7NT Name and address: From To !ours 8eason ,or 6eaing Duties3 Name and address: From To !ours 8eason ,or 6eaing Duties3 Name and address: From To !ours 8eason ,or 6eaing Duties3 Page 2 of 4 3 CHURCH PASSAGE, BRIDGWATER, SOMERSET TEL:01278422600 FAX: 01278423312 Confidential Registration for Recruitment SW Ltd 1/NF5D7NT5A6 *7D51A6, !7A6T! AND SAF7T0 D716A8AT5/N )n the last t,o "ears ha!e "ou missed ,ork through illness or in4ur" 0es1(o )f "es5 ho, man" da"s did "ou ha!e off Ha!e "ou made a full reco!er" from "our illness or in4ur" 0es1 (o )f no5 please pro!ide certificate from a doctor stating that "ou are fit to return to ,ork 're "ou currentl" ha!ing medication or treatment prescri+ed +" doctor 0es1(o )f "es5 ,ill "ou need to take the drug treatment during "our ,orking hours 0es1(o Ha!e "ou recentl" returned from o!erseas tra!el 0es1(o $hich countr">ies? did "ou !isit )f "es5 did "ou suffer an" illnesses ,hile a+road 0es1(o Do you or hae you su,,ered ,rom *"phoid fe!er 0es1(o Do "ou suffer from an" allergies 0es1(o )f "es5 then mention reason 're "ou allerg" to histamines 0es1(o Salmonella 0es1(o 1urrently are you or any o, your household su,,ering ,rom: ' nasal infection 0es1(o ' cough @ phlegm1sore throat 0es1(o ' discharging ear 0es1(o 'cne1+oils1cold sores1sties1+urns or septic fingers 0es1(o Diarrhoea5 a+dominal pain or fe!er 0es1(o Aaundice 0es1(o 'n" skin trou+le affecting the hand1arm or face 0es1(o Do "ou consider "ourself to +e disa+led5 if so please suppl" reg6 no 0es1(o B Personal !ealth De2laration: ) declare that all the foregoing statements are true to the +est of kno,ledge6 Should the situation change ,hilst3 '6) am engaged on temporar" assignment +" 'S'P in +et,een assignments B6)n +et,een assignments of 'S'P ) ,ill immediatel" notif" 'S'P and if appropriate compan"5 ,here ) am ,orking6 Signed3CCCCCCCCCCCCCCCCCCCCCCCCCC Dated3CCCCCCCCCCCCCCCCCCCCCCCCCCCC !ealth and sa,ety de2laration: ) declare that ,hile ,orking in 'S'P ) ,ill not use machiner" or eDuipment unless ) am e-perienced or ha!e +een instructed in its safe operation6 ) ,ill at all times endea!our to ,ork in a manner that a!oids risk or in4ur" to me and others6 Signed3CCCCCCCCCCCCCCCCCCCCCCCCCCCC Dated3CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC Please gi!e the names and addresses of "our ne-t of kin in case of emergenc"3 CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC Page 3 of 4 3 CHURCH PASSAGE, BRIDGWATER, SOMERSET TEL:01278422600 FAX: 01278423312 Confidential Registration for Recruitment SW Ltd Personal Details Surname (ame 'ddress3 *elephone Home Mo+ile Date of +irth3 Se-3 Male1Female Marital Status3 Married1Single (ational insurance num+er3 *ransport &ar Motor+ike Bike (one (e-t of <in3 *elephone no3 Ban3 Details ) here+" authori7e m" ,ages to +e paid into the follo,ing +ank account 0es1(o Please pa m" ,ages +" cheDue or cash > a E; ,ill +e charged for this? 0es1(o (ame of +ank1Building societ" 'ddress3 'ccount holders name 'ccount num+er Sort code Building societ" reference num+er Signed Page 4 of 4 3 CHURCH PASSAGE, BRIDGWATER, SOMERSET TEL:01278422600 FAX: 01278423312