register with us

1. Title
2. Fornames (in full) *
3. Surname *
4. Previous names
   (if applicable)
5. Date of birth *
6. Place of birth
7. Nationality *
8. Any other nationality/citizenship at any time?

   Yes No
9. NI number

1. Permanent address *
2. Email address *
3. Telephone home
4. Telephone work
5. Mobile
6. How long at current address
7. Previous address
   (if less than 3 years)

1. 
   
   
   
   
   
   
   
   
   
   
   
2. Schools attendend

1. 
   
   
   
   
   
2. Schools attendend

1. 
   
   
   
2. First year
   subjects / grades
3. Second year
   subjects / grades
4. Third year
   subjects / grades

1. Current salary
2. Expected salary

1. Please tick the duties you have done

   Correspondence Stock Control Sales / pch ledger PAYE VAT Telephone sales Telephone liaison Data inputting Keeping diaries Reception work Warehouse Packing Factory line work Labouring Other
2. Please give brief details of any responsibilities you have carried out in any of the above areas
3. Please state how long you have worked in each area of law
4. Please give details of the type of position you wish to acquire

Please give details of two referees (one of whom must be a previous employer) who may be contacted before an assignment is offered to you.

First referee

1. Name
2. Job title
3. Address
4. Telephone

Second referee

1. Name
2. Job title
3. Address
4. Telephone

1. I am seeking temporary work on a full time basis

   Yes No
2. I am seeking temporary work on a part time basis

   Yes No
3. I am seeking permanent work on a full time basis

   Yes No
4. I am seeking permanent work on a part time basis

   Yes No
5. I am seeking work in the following areas

   Exeter Plymouth Devon Cornwall Southwest Other

1. Please give brief details below of any medical ailments or disabilities that is/are likely to affect your working committments (this information will be treated as strictly confidential)
2. Please give brief details of any criminal convictions made against you (e.g. driving etc.)