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QUALITY MANUAL

Employment Reference Reply QMD 307b

Name of Applicant

Period(s) in your Employment

Position(s) Held

Reason(s) for Leaving

Salary/Rate of Pay on Leaving

How many days was the Applicant absent


(including periods for sickness) during the last
12 months of employment?
If employed for less than 12 months please give
total number of days absent in period of
employment

How many separate periods of absence were


involved?

Please comment on the Applicant’s:

Attendance and Timekeeping

General Conduct and Attitude

Quality of Work/Job Performance

Relationships with other Staff

Honesty, Integrity and Reliability

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QUALITY MANUAL
Employment Reference Reply QMD 307b

Do you know of any reason(s) including health,


which might make the Applicant unsuitable for
employment by us:

If yes please give details

Would you re-employ the applicant?

If no please give details

Please comment on the Applicants strengths


and weaknesses in relations to the position for
which he/she has applied (Job Description
enclosed)

How many weeks (if any) has the applicant


taken under Parental Leave Regulations?

Your Name

Your Signature

Your Position/Job Title

Date

Company Name

Company Address
If you have a Company stamp, please stamp
here

If you do not have a Company stamp please


enclose a sheet of Company letterhead or
business card
N.B. This post is exempt from the Rehabilitation of Offenders Act 1974. In order to protect the public, the post for which application is
being made is exempt from Section 4(2) of the Rehabilitation of Offenders Act (Exemptions) Order 1975. It is not, therefore, in any way
contrary to the Act to reveal any information you may have concerning conviction which would otherwise be considered ‘spent’ in
relation to the Applicants suitability for employment. Any information will be kept in the strictest of confidence and only used in the
consideration of the suitability of this Applicant for the position where such exemption is appropriate.

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