Advance Security Application Form – Fill Out and Use This PDF

Application Form

Application for:

If less than 5 years at this address, state your previous address(es)

Any current endorsements? If so, please give details

Emergency Contact Name and Address

Name & Pin No. of introducing Officer (if applicable)

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EMPLOYMENT & UNEMPLOYMENT RECORD

Last 5 years (start with most recent). Include ALL periods of employment, unemployment, education and self-employment within the last 5 years.

Important – full addresses and contact telephone numbers are required. If you are still presently employed, please give notice period.

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EMPLOYMENT RECORD CONTINUED

Periods of employment, unemployment, education and self-employment within last 5 years.

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PERSONAL REFEREES

Please give the name, address, telephone number and occupation of two persons who have known you for 2 years in the last 5 years, whom we may approach for character references. A minimum of 2 character referees should be given. Please provide a 3rd if available. These individuals must not be related to you and must not reside at the same address.

How long have you known this person?

SELF-EMPLOYMENT REFEREES

If you have been self-employed please give the name, address and telephone number of two professional referees who can confirm this (e.g. solicitor, bank manager or accountant).

Post code

Tel NoOccupation

In what capacity do you know this person?

How long have you known this person?

Post code

Tel NoOccupation

In what capacity do you know this person?

How long have you known this person?

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PREVIOUS SECURITY QUALIFICATIONS

LICENCE STATUS

Do you hold any of the following SIA Licences?

Other

SERVICE RECORD

UNIFORM

Uniform Size Chest Waist Hat Inside LegCollar

MEDICAL DETAILS

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MEDICAL DETAILS CONTINUED

REHABILITATION OF OFFENDERS ACT 1974

The following is a summary of the Rehabilitation of Offenders Act 1974.

Please ensure that you read through this carefully and that you are aware of its meaning.

WHAT IS THE ACT?

The Rehabilitation of Offenders Act 1974 was introduced to enable criminal convictions to be “spent” or forgotten after a period of rehabilitation. After this period, with some exceptions, an offender will not normally be obliged to mention the conviction when applying for a job, obtaining insurance, or when involved in other criminal legal proceedings.

HOW LONG IS THE REHABILITATION PERIOD?

The period of rehabilitation will depend on the sentence given, not the actual time served in custody.

HOW DOES THIS AFFECT YOU?

Ifyouhavebeenawardedwithanyofthesentencesshown(includingsuspendedsentences)andtheperiodofrehabilitationhasbeencompleted,your sentenceisregardedas“spent”andneednotbedeclared.Ifithasnotbeen“spent”thenitmustbeincludedonyourapplicationform.

Please now sign the declaration below to confirm you have read the Rehabilitation of Offenders Act 1974, summary above.

Signature

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RIGHT TO WORK DOCUMENTS YOU CAN SUBMIT

WORKING TIME DIRECTIVE – 48 HOUR WEEK

The 48-hour week Working Time Directive has been in force since 1st October 1998.

Under these regulations Advance Security UK Ltd must obtain your written permission if you wish to work for more than 48 hours per week.

If you do wish to work more than 48 hours per week, you need to sign the agreement below. If you change your mind about this later, you will need to inform the Human Resources Department in writing giving three months notice, so that your rosters may be amended.

From 01 October 2007, you will receive twenty four days annual leave per year, accredited at 2 days per month.

From 01 April 2009, you will receive twenty eight days annual leave per year, accredited at 2.33 days per month.

Employees working at night have the opportunity for a free health assessment, if you wish to avail yourself of the assessment, please contact the Human Resources Department.

The Directive states that the security industry is not bound to comply with regulations relating to night workers working longer than eight hours in twenty four, rest periods of eleven hours per day or one day per week or a rest period for every six hours worked, provided that you are allowed the same rest at a later time.

If, however, you wish to work and be paid for rather than take rest breaks, you can do so, provided that there is work available and you have returned the signed agreement enclosed.

If you have any queries or need further explanation, please do not hesitate to contact the Human Resources Department or speak to your Customer Service Manager.

Please tick one of the following statements and sign below: -

I do not wish to work more than 48 hours per week.

I am prepared to work more than 48 hours per week and therefore wish to ‘opt out’ of the regulation.

Signed

Print Name

Date

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DECLARATION OF CONSENT

I certify that the information I have provided in this application is correct to the best of my knowledge and belief and agree to co-operate by providing any additional information required. I fully understand that it is a criminal offence to make false statements on this application form under Section 16 of the Theft Act 1968. I also understand that any false statement may be sufficient cause for rejection of my application or, if employed, dismissal.

I further certify that I have completed the application form in my own handwriting and understand that my employment is subject to satisfactory vetting in compliance with BS7858:2006 or as may be amended. I authorise the company and any third party nominated by the company to perform a vetting service and to hold the information contained in the Application for Employment. Such information will be subject to the Data Protection Act.

I understand and agree that any offer of employment is conditional to the verification, to Advance Security UK Ltd’s satisfaction, of the information provided on the Application Form. I confirm that the information I have provided on the Application Form is true and complete to the best of my knowledge.

I understand that the check will involve verification of the details as specified below:

CHECKS TO BE CARRIED OUT

Passport/ID & relevant visas - right to work in the UK

Residency check

County Court Judgement/Bankruptcy checks

5 year employment check

I understand that all documents supplied will be checked for authenticity and that all forgeries will be reported to the relevant authorities.

I also understand that it may be a criminal offence to obtain employment by deception and that any misrepresentation, omission of a material fact or deception will cause for immediate cancellation of consideration for employment, or dismissal if already employed.

I hereby authorise Advance Security UK Ltd, to verify information presented on my Application Form, which may include explicit or sensitive personal data for the purposes of the Data Protection Act 1998 and the obtaining of documents and/or information covered by the European Directive 95/46.

I authorise Advance Security UK Ltd to perform reference checks of my employment, including current employment and to contact the Department of Works and Pensions to confirm periods of unemployment (if any). I understand that if an unsatisfactory reference is received from my current employer after I have accepted a role with Advance Security UK Ltd, that Advance Security UK Ltd may terminate my employment with immediate effect.

I confirm that my consent is explicit, fully informed and freely given for the purposes of the Act.

Signed

Print Name

Date

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