Professional Documents
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APPLICATION FORM
Please note that this document forms part of our recruitment process and
failure to complete it fully could seriously affect any offer of employment.
PERSONAL DETAILS
Position applied for: TRAINEE MORTGAGE AND PROTECTION ADVISER
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Previous address (full 6 years addresses required) Continued
Address:
N/A
Postcode:
From – to (MM/YY):
Address:
Postcode:
From – to (MM/YY):
Address:
Postcode:
From – to (MM/YY):
Address:
Postcode:
From – to (MM/YY):
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EMPLOYMENT HISTORY
Please include ALL employment over the past 10 years. Where there are gaps in your
employment history, please give an explanation.
IMPORTANT: We are obliged legally to contact your references, therefore we need full contact
details, including up to date phone numbers, email addresses and contact names. If you were
employed through an agency, then we will also need the agency’s contact details. Failure to give
the full information required, could seriously affect your employment.
PRESENT POST
Job title: Financial Analyst Full/Part Time:FULL TIME
Employer details: All Sections MUST be completed. DO NOT LEAVE BLANKS. If the company has
ceased trading, please also state this.
Date started Date left Reason for Leaving: covering a maternity
(MM/YY):08/08 employment(MM/YY) leave, temp employment
15/02
Employer: Financial Claims Made Simple
Contact name: Simon Mayo
Contact email address: Simon.Mayo@FCMS.co.uk
Contact Address: Tower Hill, Floor 13, Fairfax Street Bristol Postcode: BS1 3BN
PREVIOUS POSTS
Job title:Supervisor / Senior Agent. Employer: The Insurance Helpline
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Job title: Insurance Broker Employer: PIB INSURANCE
Dates (MM/YY - MM/YY): 04/2017 Salary: 16,000 Full/Part Time: fuL TIME/
10/2017 TEMP/AGENCY
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Reason for leaving: Temp contract ended.
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EDUCATION/TRAINING
Secondary Dates
Qualifications/grade:
education: attended:
GCSE- Maths B, English
(MM/YY-
Language B, English Litreture B,
Contact name: MM/YY)
Science B, History C, IT A*
Mark Jones 09/2005-
Arabic A* Psychology B,
06/2010
Religious Studies C
Organisation:
Bristol Metropolatan Academy
Contact email address:
Contact Address: Snowdon Rd, Bristol Postcode: BS16
2HD
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Contact email address:
Contact Address: Postcode:
Are you undertaking any course of study at present? (if so, please give details)
N/A
Do you have membership of any professional bodies? (if so, please give
details, including any offices held)
N/A
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for your consent to checks being carried out.
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Supporting information
Please give any details you feel are relevant in support of your application, including why you are
interested in this post. Use additional sheets if necessary. PLEASE ALSO USE THIS SPACE TO
EXPLAIN ANY GAPS IN YOUR EMPLOYMENT HISTORY OUTLINING THE DATES AND
REASONS FOR YOU NOT WORKING.
IN 2013 I WAS TAKEN PART IN A 4 WEEK JURY SERVICE AT THE BRISTOL CROWN COURT
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Other details
Have you worked for, or applied to London and Country Mortgages Ltd before? If yes, please give details:
NO
If not, do you have the right to work in the UK and a current work permit?
If so, please state the expiry date of your right to work in the UK and/or your work permit.
Convictions
Have you ever been convicted of a criminal offence? As this post is one covered by the
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 both spent and unspent
convictions must be declared (failure to disclose a conviction may result in the termination
of your employment or any offer of employment being withdrawn where you have yet to
start).
NO
Have you ever had any County Court Judgments or Bankruptcy Proceedings raised against you?: YES/NO
NO
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If yes, have you ever been registered with a SRO? NO. If yes, please give details: NO
If yes, have you ever been reprimanded or disciplined under the Financial Service and Markets Act
2000? NO
Have you at anytime been restricted/barred from placing business with any lender? YES/NO
NO
I hereby declare that all the information given on this form is, to the best of my knowledge, true and
complete in every respect and accept that any engagement is on the basis of the validity of this
information.
I consent to London and Country Mortgages Ltd processing, by means of a computer database or
otherwise, any information I provide them for the purpose of employment by London and Country
Mortgages Ltd.
Please accept my signature as authorisation for you to contact any persons here named to obtain reference
information. All employment is subject to the receipt of satisfactory references.
In addition, please accept my signature as authorisation to carry out Criminal Records Bureau, Credit and
Electronic ID checks.
Dated ……06/03/2018……………………………………
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