Advance Security Application Form PDF Details

A security application form is an important part of protecting your information. By knowing what to expect, you can ensure that the process goes as smoothly as possible and that your data is protected. This article will provide an overview of the security application form process and what to expect. Keep in mind that every organization has their own specific procedures, so be sure to consult their guidelines before submitting your application. When applying for a job, you may be required to complete a security application form. This form asks for personal information such as your name, social security number, address, and other contact details. It also typically asks about your education and work history. The purpose of this form is to assess your eligibility for the position and ensure that you meet the

QuestionAnswer
Form NameAdvance Security Application Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesUK, Ltd, Postcode, RAF

Form Preview Example

Application Form

Application for:

PERSONAL DETAILS

Candidate ID No

Mr/Mrs/Miss/Ms

 

 

Surname

 

 

 

First Name(s)

 

 

 

Middle Name(s)

 

 

 

Any Former Names

 

 

 

 

 

 

 

 

 

Known as

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone No

 

 

 

 

 

Mobile No

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Address

 

Postcode

 

Dates

 

 

Address

 

Postcode

 

Dates

 

 

Address

 

Postcode

 

Dates

 

 

Address

 

Postcode

 

Dates

 

 

Address

 

Postcode

 

Dates

 

 

National Insurance No

 

 

 

Place & Country of Birth

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

Nationality

 

 

 

If not born in the EC, date of entry into UK

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Permit/Visa No

 

 

 

 

 

 

Expiry Date

 

 

 

 

 

 

 

 

 

 

Have you lived or worked outside the UK for more than 6 months in the last 5 years?

 

 

Yes

No

If yes please state country(ies) & date(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have

 

 

 

 

 

 

 

 

A current driving licence?

 

 

 

Provisional

 

Full

No

Use of a vehicle?

 

 

 

 

 

Yes

No

Any current endorsements? If so, please give details

Emergency Contact Name and Address

 

 

 

 

 

 

 

 

Relationship

 

 

Tel Nos. Home

 

 

Work

 

 

 

 

Mobile

 

 

 

 

Have you ever been cautioned or convicted of a criminal offence either in the UK or any other Country,

 

 

 

Yes

No

or are there any proceedings pending? (Subject to the Rehabilitation of Offenders Act 1974)

 

 

 

 

 

 

 

If yes, please give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Offence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been subject to bankruptcy proceedings or court judgements for debt,

 

 

 

Yes

No

or are there any proceedings pending?

 

 

 

 

 

 

 

 

 

 

 

If yes, please give details

 

 

 

 

 

 

 

Amount: £

 

 

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

Name

 

Pin No.

 

HR01 Issue 12

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.

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Notice Period Required

Tel No:

Fax No:

Email:

Permission to contact:

Yes

No

Employment/Education Details

Start Date

Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

HR01 Issue 12

EMPLOYMENT RECORD CONTINUED

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

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

Employment/Education Details

Start Date Finish Date

 

 

 

Contact Person/Title

Your Job Title

Company or Job Centre Name & Address

Post Code

Reason for Leaving

Tel No:

Fax No:

Email:

HR01 Issue 12

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.

Referee One

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

Forename/s

 

 

 

 

 

 

 

Surname

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post code

 

Home Tel:

 

 

 

Work Tel:

Mob:

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

 

 

 

 

In what capacity do you know this person?

 

 

 

 

 

How long have you known this person?

 

 

 

 

 

 

 

 

 

 

 

Referee Two

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

Forename/s

 

 

 

 

 

 

 

Surname

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post code

 

Home Tel:

 

 

 

Work Tel:

Mob:

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

 

 

 

 

In what capacity do you know this person?

 

 

 

 

 

How long have you known this person?

 

 

 

 

 

 

 

 

 

 

 

Referee Three

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

Forename/s

 

 

 

 

 

 

 

Surname

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post code

 

Home Tel:

 

 

 

Work Tel:

Mob:

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

 

 

 

 

In what capacity do you know this person?

 

 

 

 

 

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).

Referee One

 

 

 

 

Title

 

Forename/s

 

Surname

 

Address

 

 

 

 

 

 

 

 

 

 

Post code

Tel NoOccupation

In what capacity do you know this person?

How long have you known this person?

Referee Two

 

 

 

 

Title

 

Forename/s

 

Surname

 

Address

 

 

 

 

 

 

 

 

 

 

Post code

Tel NoOccupation

In what capacity do you know this person?

How long have you known this person?

HR01 Issue 12

PREVIOUS SECURITY QUALIFICATIONS

Do you hold any of the following certificates?

 

 

 

 

 

 

NVQ/SVQ in Security, Safety & Loss Prevention

Yes Level (

)

No

 

 

 

C&G Professional/Advanced Security Officer

Yes

 

No

 

 

 

NOCN/SITO Basic Job Training Award 2 day course

Yes

 

No

Date Completed

 

 

3 day course

Yes

 

No

Date Completed

 

 

 

 

First Aid

Yes

 

No

Expiry Date

 

 

 

 

 

Fire Fighting

Yes

 

No

Expiry Date

 

 

Other professional qualifications

 

 

 

 

 

 

 

LICENCE STATUS

Do you hold any of the following SIA Licences?

Security Guarding

Yes

No

Expiry Date

 

Licence No.

 

Door Supervision

Yes

No

Expiry Date

 

Licence No.

 

Cash & Valuables in Transit

Yes

No

Expiry Date

 

Licence No.

 

Public Space Surveillance

Yes

No

Expiry Date

 

Licence No.

 

Vehicle Immobilisation

Yes

No

Expiry Date

 

Licence No.

Close-protection

Yes

No

Expiry Date

 

Licence No.

Key-holding

Yes

No

Expiry Date

 

Licence No.

Other

SERVICE RECORD

Please tick

Royal Navy

Army

RAF

Merchant Navy

Territorial Reserve

Date From

 

To

Conduct Record

 

 

UNIFORM

Uniform Size Chest Waist Hat Inside LegCollar

MEDICAL DETAILS

Are you currently under any medication?

 

Yes

No

 

 

 

If yes please give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you fit to work?

 

 

 

 

Yes

No

 

 

 

If no please give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and address of your Doctor

 

 

 

 

 

 

 

 

 

Date last examined by Doctor and reason

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you in good health?

 

Yes

No

Are you receiving any treatment?

 

Yes

No

If yes please give details

 

 

 

 

 

 

 

 

 

 

Details of major surgery with dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please give total number of days you were unable to work through illness or injury during the past year

 

 

 

 

Reason for absence

 

 

 

 

 

 

 

 

 

 

The following information is required in the event that you may wish to become authorised to drive a Company vehicle or drive a private vehicle on

Company business.

 

 

 

 

 

 

 

 

 

Have you ever been refused a driving licence on health grounds, or been banned or prevented from driving?

Yes

No

If ‘yes’, when, for how long and for what reason?

 

 

 

 

 

 

HR01 Issue 12

MEDICAL DETAILS CONTINUED

Have you ever: (if YES please tick box)

 

Received in-patient treatment for any mental condition

Been refused employment or dismissed for health reasons

Been treated for alcohol or drug abuse

Sufferedfromasthma,bronchitisoranyotherrespiratorycomplaint

Suffered from any nervous condition

Do you: (if YES please tick box)

Suffered from joint or back pain

Suffer from hearing problems

Suffered from heart or blood pressure problems

Have epilepsy, fits or blackouts

Suffered from arthritis or rheumatism

Have a good sense of smell

Suffered from diabetes

Have colour blindness

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.

 

AGE 18 OR

AGE 17 OR

SENTENCE

OVER WHEN

UNDER WHEN

CONVICTED

CONVICTED

 

 

 

2 1/2 years or over

Never

Never

A sentence of imprisonment, detention in a young offender institution, youth custody

10 years

5 years

or corrective training for a term exceeding 6 months but not exceeding 2 1/2 years

 

 

A sentence of imprisonment, detention in a young offender institution or youth

7 years

3 1/2 years

custody for a term less than 6 months

 

 

 

 

 

A sentence of dismissal from Her Majesty’s Service

7 years

3 1/2 years

Any sentence of detention in respect of a conviction in service disciplinary proceedings

7 years

3 1/2 years

A fine, compensation, probation (for convictions on or after February 1995), community service,

5 years

2 1/2 years

combination, action plan, curfew, drug treatment and testing and reparation orders

 

 

 

 

 

Order for detention in a detention centre

3 years

3 years

 

 

 

Absolute discharge

6 months

6 months

 

 

Conditional discharge or bind-over, probation (for convictions before 3 February 1995),

1 year or until order expires

supervision care order

 

 

 

 

Attendance centre order

1 year or until order expires

 

 

Hospital order

5 years or 2 years after the order expires

 

whichever is the longer period

 

 

Referral order

(Once the order expires)

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

HR01 Issue 12

RIGHT TO WORK DOCUMENTS YOU CAN SUBMIT

UK Passport

Yes

No

EEA Passport/ID Card

Yes

No

UK Birth Certificate/Adoption Certificate

Yes

No

Entry Clearance/Visa Stamp/Residency Permit

Yes

No

Home Office/Border Immigration Authority Letter

Yes

No

Certificate of Application

Yes

No

Right of Residence as Family Member (Stamp)

Yes

No

Other

Yes

No

Please Specify

 

 

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

HR01 Issue 12

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

HR01 Issue 12