Reference Request Form

Position Applied for

Gina Gabriela Albu
Name of Applicant

Job Applied for

General Assistant
(please refer attached job description)

Please Outline

Capacity in which you know the Applicant I know Gabriela Albu from work.I was her boss.

How long have you known the Applicant? 1 year

General Manager
Job held by Applicant

December 2016 - November 2017

Dates of Employment

She moved with her family in another country.

Reason for leaving

Any formal disciplinary warnings issued during the applicants employment

with you for performance, attendance or conduct? If Yes, please provide Yes / No ☑
details to include of level of warning; date issued and duration

Have you referred the Applicant to DBS (England & Wales), SSSC (Scotland),
NMC or any other regulatory or professional body? If Yes, please provide Yes / No ☑
details

Would you re-employ the candidate? If no, why not? Yes ☑ / No

Absence whilst in your employment

Parental
Applicant has taken __0__ days parental leave
Leave

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Please provide an overview of the applicant’s key duties & responsibilities whilst in your employment.

Please assess against these performance criteria (please tick(√) as appropriate)

Variable Poor
Excellent Good Satisfactory
(please expand below)
Attendance
✓
Timekeeping (punctuality)
✓
Honesty & Integrity
✓
Standard & Quality of Work
✓
Attitude & Behaviour
✓
Approach to Teamwork
✓
Attitude to Workload
✓
Attitude to working within Guidelines
✓

Please comment on the candidate’s suitability for the post (refer attached job description) taking into
account ability, professional and personal characteristics as well as managerial ability, if appropriate,
and any other factors which you consider relevant.
From my point of view Gabriela may be the ideal employee. She is professional, she
works hard, always trying to respect the deadlines.She was very passionate in her work.
As manager she always knew how to deal with any type of problems and she was not
afraid to ask for advice when she need it.

Please use the space below, to provide any additional information you think may be relevant.

In signing this document you agree that the information provided is a) accurate and b) unless you
indicate to the contrary, you consent under the Data Protection Legislation to this information being
disclosed to a third party such as the employee to whom this reference applies.

Please tick (√) as appropriate. I agree ☑ I disagree 

Name Adrian Tudose

Company SC ADRILEX IMP EXP SRL
Position / Job Title Regional Manager
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Date 1.2.2018
Signature

Reference Request Form

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