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Eirscot Civil Engineering Limited
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Eirscot Civil Engineering Ltd-Application for Employment
Oaklands Industrial Estate, Essex Road, Hoddesdon, Herts. EN11 0BX
Tel:01992 470404, Fax: 01992 479009 E-mail:mail@eirscot.co.uk
Pre-Employment Questionaire - All Information Confidential
Personal Information - Please complete in block capitals
Home No
Mobile No
Work No
Forename(s):
Surname
DOB
Age
Address:
Nationality
Marital status
Employment Desired
Full Time
Part Time
Position applied for:
Date you can start:
Ever applied to this company before?
No
Yes
When?
CIS 4
Yes
No
CIS 6
Yes
No
Confined Spaces
Yes
No
360 Degrees CITB/CTA
Yes
No
Vat Registered?
Yes
No
CSCS Card
Yes
No
NRSWA
Yes
No
Abrasive Wheels
Yes
No
Driving Licence
Yes
No
Any other certificates
Are you registered disabled?
No
Yes
Registered Disabled No.
Expiration Date
Name & location of School and Further Education & Training
Yrs Attended
Exams passed & Grades
Professional membership/ Qualifications
Yrs Attended
Exams passed & Grades
Employment History-(List below last four employers, starting with most recent employer)
Employment Duration
Name & Address of Employer
Rate
Position
Reason for leaving
References-Give below the names of three persons not related to you, whom you have known at least one year
Name
Occupation
Years Known
Contact Details
Information to support your application:
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| ©2003 Eirscot Civil Engineering Limited