Emergency Contact/Next of Kin

To comply with Agency Worker Regulations, please detail work completed with other agencies in the last 6 weeks.

Education History Exam Results/Qualifications

Secondary School:

Further/Higher Education:

Other Qualifications/Certificates/Training:

Previous Employment (all dates to be entered dd/mm/yyyy)

Tick the skills below in which you have work experience

Name and Contact Details of two work related Referees (please do not include relations)

Reference 1:

Reference 2

I confirm that I have read and understood Travail Employment Group's Privacy Policy and freely consent to my data being processed as necessary, for the purposes of receiving work finding services. Personal and/or sensitive data may be supplied directly from my C.V., Applications for work/Personal History Form and any other documentation provided which is used to verify my I.D., Right to Work, N.I Number, my training, qualifications, skills and/or other work related data. I confirm that all documents provided by me are to the best of my knowledge, accurate and true. I acknowledge that I am able to withdraw my consent at any time, query or complain about any data handling matter, as per the Privacy Policy. Travail Employment Group have informed me that they are acting as an Employment Business in connection with my requirement for Temporary work and have provided me with a copy Contract for Services; and act as an Employment Agency in connection with my requirement for Permanent work. Furthermore I acknowledge my right to limit my working working week to a maximum 48 hours under the Working Time Regulations 1998 and hereby "opt out" of this entitlement so I can work in excess of 48 hours each week if I choose. Furthermore, I acknowledge that I can "opt in" at any time without notice in writing to Travail.