VETTING FROM:

VETTING BY:
(12/16 weeks from
the above date)

PLEASE
AFFIX
PHOTOGRAPH

S.I.A. LICENCE NUMBER

EMPLOYMENT AS: SECURITY OFFICER/PERSONNEL

CONFIDENTIAL WHEN COMPLETED

PLEASE ANSWER ALL QUESTIONS USING BLOCK CAPITALS

1. PERSONAL INFORMATION, HOW DID YOU FIND THE VACANCY, LOCAL JOB CENTRE, PRESS, INTERNET, STAFF ALREADY WORKING FOR PLEASE CIRCLE.

SURNAME:

CURRENT ADDRESS:

PREVIOUS ADDRESS IF
LESS THAN 3 YEARS AT ABOVE:

FIRST NAME:

TELEPHONE:

MOBILE:

CURRENT DRIVING LICENCE: NO:

CAR OWNER:

YESNO

NATIONAL INSURANCE No:


2. BANK DETAILS (complete at interview)

BANK ACCOUNT NUMBER:

NAME OF BANK:

SORT CODE:

NAME OF ACCOUNT HOLDER:

PLACE OF BIRTH:

IN THE UK:

MARITAL STATUS: MARRIEDDIVORCEDSINGLE

IF BORN OUTSIDE THE UK:

DATE OF BIRTH:

AGE:

HEIGHT (cm):

WEIGHT (kg):

COLOUR OF EYES:

3. PERSON/NEXT OF KIN TO BE CONTACTED IN ANY EMERGENCY:

NAME:

RELATIONSHIP: PARENTWIFEPARTNER

TELEPHONE NUMBER:

4. HAVE YOU EVER APPEARED BEFORE A COURT CHARGED WITH A CRIMINAL, CIVIL OR MILITARY OFFENCE AND BEEN CONVICTED INCLUDING ANY MOTORING OFFENCES HAVE YOU ANY ALLEGED OFFENCES OUTSTANDING.

YESNO

IF YES, GIVE DETAILS:

5. PERSONAL REFEREES

PLEASE GIVE DETAILS OF TWO PEOPLE, OTHER THAN FAMILY WHO HAVE KNOWN YOU FOR AT LEAST 2 YEARS OUT OF THE LAST 5 YEARS WHO WE CAN APPROACH FOR A REFERENCE:

NAME:

ADDRESS:

PERIOD KNOWN:

TELEPHONE NO:

NAME:

ADDRESS:

PERIOD KNOWN:

TELEPHONE NO:

6. PERSONAL HISTORY (PART A)

THE SECURITY SCREENING PROCESS REQUIRES THAT WE ARE ABLE TO VERIFY YOUR PERSONAL HISTORY FOR A PERIOD OF TEN OR FIVE YEARS OR TO DATE OF LEAVING SCHOOL. PLEASE GIVE DETAILS OF YOUR PERSONAL HISTORY, IDENTIFY IN THE SPACE PROVIDED ALL PERIODS OF EMPLOYMENT SELF EMPLOYMENT, REGISTERED OR UNREGISTERED UNEMPLOYMENT (STATE THE UNEMPLOYMENT OFFICE WHICH YOU REPORTED TO), MILITARY SERVICE. BE SURE TO GIVE FULL ADDRESSES INCLUDING, TELEPHONE NUMBERS AND DATES.

EMPLOYERS NAME, ADDRESS & TELEPHONE NO:

NAME OF THE PERSON YOU REPORTED TO:

POSITION YOU
HELD:

EMPLOYMENT DATES INCLUDE MONTHS:























REASON FOR
LEAVING:

7. PERSONAL HISTORY (PART B)

IN THE CASE OF PERIODS OF SELF-EMPLOYMENT PLEASE GIVE NAMES AND ADDRESSES OF SOMEONE WHO CAN CONFIRM YOU’RE DETAILS (ie; BOOK KEEPER, ACCOUNTANT, and OR SOLICITOR).

HAVE YOU BEEN MADE BANKRUPT? YESNo
(if yes please specify)

DO YOU HAVE ANY COUNTY COURT JUDGEMENTS? YESNo

DO YOU OBJECT TO THE COMPANY CONTACTING A CREDIT AGENCY WITH REFERENCE TO YOURSELF? YESNo

8. DETAILS OF WHEN YOU LEFT SCHOOL & IF YOU ATTENDED COLLEGE IN THE LAST 10 YEARS

SCHOOL NAME: (secondary only)

TOWN/CITY:

DATE YOU LEFT SCHOOL:

COLLEGE & DATES:

9. MEDICAL INFORMATION

DO YOU SUFFER FROM ANY ILLNESS OR DISABILITY? YESNO

IF YES PLEASE SPECIFY


Employees working on night duties may be required to undertake a medical, for further information contact head office.

READ THIS SECTION CAREFULLY BEFORE YOU SIGN THE STATEMENT

1. IF OFFERED EMPLOYMENT IT WILL BE INITIALLY FOR A PROBATIONARY PERIOD OF 16 WEEKS.AFTER A PERIOD OF 12 WEEKS FROM START DATE FOR SCREENING:

2. DURING THE PROBATIONARY PERIOD YOUR CONTRACT OF EMPLOYMENT MAY BE TERMINABLE BY THE "COMPANY" BY NO LESS THAN 24 HOURS NOTICE IN WRITING. THIS APPLIES TO SCREENING PERIOD ALSO.

3. CONTINUED EMPLOYMENT IS CONDITIONAL UPON SATISFACTORY SCREENING, MEDICAL AND GENERAL PERFORMANCE.

STATEMENT TO BE SIGNED BY APPLICANT

I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE INFORMATION I HAVE GIVEN IS COMPLETE AND CORRECT, AN I UNDERSTAND THAT MISREPRESENTATION OF FACTS IS GROUNDS FOR IMMEDIATE DISMISSAL AND RENDERS ME LIABLE FOR PROSECUTION. I AUTHORISE THE COMPANY TO APPROACH ANY GOVERNMENT AGENCIES, FORMER EMPLOYERS, CREDIT AGENCIES AND PERSONAL REFEREES TO VERIFY THE INFORMATION GIVEN, AND WILL SUPPLY A STATUTORY DECLARATION IF REQUIRED (I GIVE PERMISSION FOR MY PRESENT EMPLOYER TO BE APPROACHED). I CONFIRM IF SUCCESSFUL.

APPLICANTS SIGNATURE (Enter Your Name):
DATE:

FOR OFFICE USE ONLY

ASSOCIATED DOCUMENTS:

Birth Certificate/Passport

S.I.A. Licence

Service Record

Utility Bill/Bank Statement

SEEN:

YESNO

YESNO

YESNO

YESNO

DATE:

COPY RETAINED:

YES

YES

YES

YES

N.B. PHOTOCOPIES OF ONE OF THE ABOVE DOCUMENTS ARE TO BE INCLUDED WITHIN VETTING PAPERS.

INTERVIEWERS ASSESSMENT (office use only)

SENSE TESTS

a) Colour Blindness OKFAILED

b) Hearing OKFAILED

c) Smell OKFAILED

INTERVIEWERS SIGNATURE:
DATE:

Before proceeding with this application form

Notice to all Applicants

PHANTOM SG LIMITED Conforms to the Standard of BS 7858 and as such all applicants must undergo a security screening process.

  • 1. The application must be completed in full.
  • 2 A full 5 year work history (or in the case of a younger applicant a 10 year if the company requires the later for client or insurance reasons.
  • 3 Personal references
  • 4 Proof of ID
  • 5 Proof of address
  • 6 Medical history
  • 7 National Insurance Check
  • 8 Criminal Records Bureau Screening via the S.I.A.

As to enable us to process your application please supply the following in full

  • 1 Full names, addresses and telephone numbers of previous employers
  • 2 Full names, addresses and telephone numbers of personal references
  • 3 Full details of any unemployment.

Please bring the following items to your interview

  • 1 Birth certificate
  • 2 Passport(if held)
  • 3 Two recent utility bills
  • 4 Driving licence(if held)
  • 5 Two passport size photographs
  • 6 Bank details
  • 7 P45 if you have one

Failure to complete this application form could result in your application being delayed or rejected. Any information supplied that is found to be fraudulent would result in dismissal or in some cases legal action being taken.

Before proceeding with this application

  • 1 Do you agree to a S.I.A. Criminal record check being carried out?YESNO
  • 2 Do you fully understand the potential consequences? YESNO
  • 3 Do you agree to a credit check taken via a credit agency regards to yourself YESNO

Print Name

Signature

Date