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Home
About Us
Cleaning Services
Office Cleaning Services
Industrial Cleaning
Builders Clean
Kitchen Deep Clean
Security Services
Manned Guarding
Keyholding
CCTV Operators
Prices
Testimonial
Careers
Contact Us
Careers
Apply for a position
If you would like to apply for a position please register your interest by competing the application below
Position Applying for?
Position Applying for?
*
Please mention the position name
First Name
*
Last name
*
Gender
*
Male
Female
Present Address
*
Postcode
*
Are you residing in this address for less then 5 years
If you lived less then five years in the above address, please provide your previous address(es)
Address 1
*
Postcode
Address 2
Postcode
Contact No
*
Email
*
Date of Birth
*
NI Number
Height in CM
*
Passport No.
*
Type of VISA
Nationality
Emergency Contact Details
Emergency Contact Details
Emergency Contact Name
*
Address
*
Postcode
*
Relationship
*
Phone
*
Education and Training
Education and Training
Qualification & Institution
*
From (Date)
*
To (Date)
*
Qualification & Institution
From (Date)
To (Date)
Qualification & Institution
From (Date)
To (Date)
Employment History
Employment History
Employment History Company Name
*
Address
*
Postcode
*
Email
*
Tel
*
Position
*
From Date
*
To Date
*
Reason for Leaving
*
Company Name
*
Address
*
Postcode
*
Email
*
Tel
*
Position
*
From Date
*
To Date
*
Reason for Leaving
*
more than 2 places
Worked more than 2 places?
Company Name
Address
Postcode
Email
Tel
Position
From Date
To Date
Reason for Leaving
Company Name
Address
Postcode
Email
Tel
Position
From Date
To Date
Reason for Leaving
Company Name
Address
Postcode
Email
Tel
Position
From Date
To Date
Reason for Leaving
Can we contact your present employer?
Can we contact your present employer?
*
Yes
Medical Questionnaire
Medical Questionnaire
Name and Address of GP Surgery
*
1. Are there any medical reasons why you should not do shift work?
1. Are there any medical reasons why you should not do shift work?
Yes
No
2. Are you able to carry out strenuous physical work including climbing Ladders, working from scaffolding, bending, lifting and carrying?
2. Are you able to carry out strenuous physical work including climbing Ladders, working from scaffolding, bending, lifting and carrying?
Yes
No
3. Have you ever had to give up any previous job for medical reasons?
3. Have you ever had to give up any previous job for medical reasons?
Yes
No
4. Have you ever had any treatment requiring hospital admission for five or more days?
4. Have you ever had any treatment requiring hospital admission for five or more days?
Yes
No
5. Is your eyesight normal (with glasses if worn)?
5. Is your eyesight normal (with glasses if worn)?
Yes
No
6. Is your hearing normal?
6. Is your hearing normal?
Yes
No
7. Have you ever had any of the following?
(a) Diabetes?
(a) Diabetes?
Yes
No
(b) Tuberculosis?
(b) Tuberculosis?
Yes
No
(c) Angina?
(c) Angina?
Yes
No
(d) Any other heart trouble?
(d) Any other heart trouble?
Yes
No
(e) Raised blood pressure?
(e) Raised blood pressure?
Yes
No
(f) Peptic, gastric or duodenal ulcer?
(f) Peptic, gastric or duodenal ulcer?
Yes
No
(g) Indigestion for more than one week?
(g) Indigestion for more than one week?
Yes
No
(h) Back trouble, lumbago, sciatica, “slipped disc”?
(h) Back trouble, lumbago, sciatica, “slipped disc”?
Yes
No
8. Have you ever had any of the following during the past five years?
(a) Bronchitis, asthma, pneumonia?
(a) Bronchitis, asthma, pneumonia?
Yes
No
(b) Dermatitis, eczema or any other skin troubles?
(b) Dermatitis, eczema or any other skin troubles?
Yes
No
9. Do you suffer from any of the following
(a) Migraine or sever recurring headaches?
(a) Migraine or sever recurring headaches?
Yes
No
(b) Anxiety, depression or any other nervous complaint?
(b) Anxiety, depression or any other nervous complaint?
Yes
No
(c) Fainting attacks or giddiness?
(c) Fainting attacks or giddiness?
Yes
No
(d) Kidney trouble or urinary infection?
(d) Kidney trouble or urinary infection?
Yes
No
(e) Sleep disorders?
(e) Sleep disorders?
Yes
No
If you have answered “yes” to any of questions 1 to 9, please give very brief details below
I am willing to undergo a medical examination if required and I declare that the information I have given on this form is correct to the best of my knowledge.
I am willing to undergo a medical examination if required and I declare that the information I have given on this form is correct to the best of my knowledge.
Yes
No
I agree that the Company may consult my own Doctor in relation to any information I have given on this questionnaire.
I agree that the Company may consult my own Doctor in relation to any information I have given on this questionnaire.
Yes
No
HAVE YOU EVER BEEN FINED, IMPRISONED, PLACED ON PROBATION, DISCHARGED ON PAYMENT OF COSTS OR HAD ANY ORDER MADE AGAINST YOU BY A CRIMINAL, CIVIL OR MILITARY COURT OR PUBLIC AUTHORITY?
HAVE YOU EVER BEEN FINED, IMPRISONED, PLACED ON PROBATION, DISCHARGED ON PAYMENT OF COSTS OR HAD ANY ORDER MADE AGAINST YOU BY A CRIMINAL, CIVIL OR MILITARY COURT OR PUBLIC AUTHORITY
Yes
No
HAVE YOU EVER BEEN FINED, IMPRISONED, PLACED ON PROBATION, DISCHARGED ON PAYMENT OF COSTS OR HAD ANY ORDER MADE AGAINST YOU BY A CRIMINAL, CIVIL OR MILITARY COURT OR PUBLIC AUTHORITY?
HAVE YOU ANY ALLEGED OFFENCES OUTSTANDING AGAINST YOU? IF YES,
HAVE YOU ANY ALLEGED OFFENCES OUTSTANDING AGAINST YOU?
Yes
No
HAVE YOU ANY ALLEGED OFFENCES OUTSTANDING AGAINST YOU? IF YES, GIVE DETAILS.
ALL 786 Services Limited Employees are paid directly into their Bank Accounts. Please give details below:
Name & Address of Bank:
Sort Code
Account Holder’s Name
Account Number
Do you have any special requirements if invited for an interview.
Do you have any special requirements if invited for an interview.
Yes
No
Provide details
I UNDERSTAND THAT IF I AM OFFERED EMPLOYMENT, I WILL BE APPOINTED ON PROBATION FOR A PERIOD OF 3 MONTHS.
DURING THE PROBATIONARY PERIOD, MY EMPLOYMENT WILL BE TERMINABLE BY ONE WEEK’S NOTICE BY EITHER PARTY.
I AUTHORISE THE COMPANY TO OBTAIN ALL DETAILS OF EMPLOYMENT FROM MY PREVIOUS EMPLOYERS.
*
I AUTHORISE THE COMPANY TO OBTAIN ALL DETAILS OF EMPLOYMENT FROM MY PREVIOUS EMPLOYERS.
I agree with the above terms and conditions
*
I agree with the above terms and conditions - I certify that to the best of my knowledge the information I have given is true and complete. I understand that any false statement or omission will render me liable to dismissal any may result in prosecution. Any information will be treated in confidence.
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