‘Our Client is Our Gem’
Current employer first. Must cover the last 10 years of your working life. Use a separate attached sheet if
required; please sign the extra sheet(s).
You must provide references from your two most recent employers. Please provide an additional
character referee. All will be contacted, therefore please inform the referees of the fact that you have
used their name. If you are unable to provide the required references, please inform your interviewer
immediately if you do not meet these specifications.
Applicants Declaration – Read and understand before signing.
1. I confirm that the information given above is complete and correct, and I understand that any
incomplete, untrue or misleading information given to the employer will entitle the employer to
reject my application, withdraw any employment offer made, or, if I am employed, dismiss me
2. I agree that the employer reserves the right to require me to undergo a medical examination to
assess my suitability to work