Attach Photo For office use only:

Approved by:

_________________________

Dublin Office, Position:

Airside Retail Park, _________________________
Swords,
Co. Dublin Date ___________________
Ireland.
Tel: 00353 19451212
Fax: 00353 1 9451415
Website: www.ryanair.com

RECORD OF EMPLOYMENT AND SECURITY DECLARATION FORM

Version 1.3
This form should be completed by anyone applying for a position in Ryanair or a position with a third party agency employing
staff operating on Ryanair aircraft. Whilst the application form can be completed in typed text, it cannot be submitted online.
Only hardcopy applications forms which have the original signature of the applicant will be accepted.

Please complete each section of this application as fully and as carefully as possible. Academic and Employment records must
cover the last 5 years. Where dates are required the full date must be given in the format DD/MM/YYYY. Additional
information may be submitted as part of the application as an attachment to the form.

THIS INFORMATION WILL BE TREATED IN STRICT CONFIDENCE.

POSITION APPLIED FOR: ________________________ _____ _ __________ ____

PERSONAL DETAILS:

SURNAME: ___________________________________________ FIRST NAMES: ____________________________________________ _

PERMANENT ADDRESS:

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

HOME TELEPHONE NO: ___________________________ MOBILE TELEPHONE NO: _________________________________

DATE OF BIRTH: _________________________________ PLACE OF BIRTH: ________________________________________

NATIONALITY: __________________________________ EMAIL ADDRESS: _________________________________________

PPS . NI / SOCIAL SECURITY NUMBER: _________________________

EDUCATION HISTORY:
SCHOOL/COLLEGE/ DATES* FINAL EXAMINATION CONTACT NUMBER:
UNIVERSITY FROM: TO: RESULTS:
_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

_____________________________ ______________ ______________ _____________________ _____________________________

*The full date must be provided in the format DD/MM/YYYY..
EMPLOYMENT HISTORY:
PREVIOUS POSITIONS/EMPLOYMENTS:

DATES EMPLOYER: POSITION HELD: CONTACT NUMBER:

FROM: TO:

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

____/____/______ ____/____/______ ____________________ __________________ __________________________

Notes: Your employment and academic history must cover the last 5 years. You may continue this list on a separate
sheet if necessary. Exact dates must be provided. We will be contacting employers and educational
establishments to verify the information provided so please ensure it is accurate. If you have any gaps in
employment / study of more than 4 weeks detail these below:

FROM: TO: EXPLANATION FOR GAP CONTACT DETAILS OF REFEREE

WHO CAN CONFIRM THIS
____/____/______ ____/____/______ _________________________________ __________________________

____/____/______ ____/____/______ _________________________________ __________________________

____/____/______ ____/____/______ _________________________________ __________________________

REFEREES:
Please list three persons from whom Ryanair may request references on your behalf; they should be such as to be able to comment in detail on
your career. Referees must include your present employer or past employer (if not currently employed) and a personal referee who is not
related to you but knows you for at least 5 years.

Ryanair will assume permission to contact referees unless the Applicant has stated otherwise.

REFERENCE 1 REFERENCE 2 REFERENCE 3

NAME/POSITION HELD : NAME/POSITION HELD : NAME/POSITION HELD:

_______________________________ _______________________________ _______________________________

_______________________________ _______________________________ _______________________________

ADDRESS: ADDRESS: ADDRESS:

_______________________________ _______________________________ _______________________________

_______________________________ _______________________________ _______________________________

_______________________________ _______________________________ _______________________________

TEL NO: TEL NO: TEL NO:

_______________________________ _______________________________ _______________________________

CRIMINAL RECORD
Do you have a criminal record? Yes ______ No ______

If yes give details (including jurisdiction where the offence took place):

______________________________________________________________________________________

______________________________________________________________________________________

ADDITIONAL PAPERWORK:
Please attach the following items with your application:
N.B If any of these items are missing from your application then your application will be deemed void.
- Copy of a valid EU passport
- 3 Written references from previous employers or academic institutions.
- Passport Photo.
- Bill or Bank Statement for proof of address.
- Original valid Police Clearance from your home country and any country you have resided in for more than 6 months.
Translation of the police clearance if not in English.

DECLARATION:
I hereby certify that all statements given by me on this application are complete and accurate without omission and any
misstatement given will disqualify my application or may result in dismissal. I authorise for approaches to be made, as
appropriate, to former employers, educational establishments, government agencies, accountants, solicitors and personal
referees for verification of the information supplied on this form. I also accept that a criminal and security background check shall
be completed on me. I undertake to notify Ryanair if I am convicted of a criminal offence at any time during my employment. I
also authorise Ryanair or its agents to request An Garda Siochana (in Ireland) or other police force or agency to establish if there
are any convictions recorded or prosecutions pending against me.

SIGNED: ________________________________ DATE: ____________________________