LASCO FINANCIAL SERVICES LIMITED

38 ½ Red Hills Road

Kingston 10
Tel. 876-906-7473
Fax. 876-960-4595

Post Applied Available Start

for: Date:

APPLICATION FORM

Section 1 Personal Details

Surname: First Name: Title:

Maiden
M.I.
Name:

Home
Address:

Mailing
Address:

NIS No: TRN No:

Work Telephone No:

Mobile Telephone No: Home Telephone No:

E-mail address:
Social Media handle/s

The company reserves the right to use social media behaviour as an assessment tool for candidate selection.
You hereby agree to disclose all online handles and give permission to access your platform
Can we contact you at work? Yes No

Date of Birth:

Marital Status: Single Married Divorced Widowed Separated

No. of Dependants:

Religion:

Place of Birth:

Drivers Licence – (if relevant to position applied for) Yes No

Do you hold a driving licence valid in Jamaica?
Do you own a reliable motor car? Yes No

MM2015
Section 2 Present Employment
Present Employment (If not currently employed give details of last employer)

Name of Employer:

Address:

Post/Title:

Annual
Date of Appointment:
Salary:

Start Date: Finish Date:

Brief description of duties:

Continue a separate sheet if necessary

Reason for leaving:

Section 3 Previous Employment

Previous Employment (most recent employer first).

Name of Employer (1):

Address:

Position Held:

Start Date: Finish Date:

Reason for leaving:
Name of Employer (2):

Address:

Position Held:

Start Date: Finish Date:

Reason for leaving:

Name of Employer (3):

Address:

Position Held:
Start Date: Finish Date:
Reason for leaving:

Section 4 Education
Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:

Qualifications and grades

Date College or University Course
obtained

Qualifications and grades

School Subjects
obtained

Continue on a separate sheet if necessary

Professional/Technical/
Date Management Qualifications Course Details

Membership of any Professional / Technical Associations- Please state level of Membership:

Section 5 Training and Development
Please give details of any training and development courses or non-qualifications courses which support your
Application. Include any on the job training as well as formal courses.

Title of Training Programme or

Date Duration of Course
Course

Continue on a separate sheet if necessary

Section 6 IT Skills

Give brief description of packages used. Please indicate whether knowledge is basic, intermediate or advanced.

Software package / Program Level of Knowledge

Continue on a separate sheet if necessary

Section 7 Languages

In which foreign language can you communicate? Please indicate whether knowledge is fluent, intermediate or basic.

Written Oral

Continue on a separate sheet if necessary

Section 8 Extra Activities/Hobbies

Section 9 Future Plans and Continuing Education

 Section 10 References

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this,
please clearly outline who your references are.

Reference 1 Reference 2
Name:
Name:

Job Title: Job Title:

Work Work
Relationship: Relationship:
Organisation: Organisation:

Address: Address:

Telephone No: Telephone No:

E-mail: E-mail:

Are you willing for this referee to Are you willing for this referee to
be approached prior to the Yes No be approached prior to the Yes No
interview? interview?

Expected Salary:
(required)

Do you have any relatives/friends working for this company? Yes No

If yes, please state name:
Do you have any affiliations to any competitors Yes No
If yes, please state:
Do you have any connections or affiliations with any connected/related party*? Yes  No 
If yes to the above, please state name and organization:

Next of Kin/Emergency Number:

*Connected/related party refers to persons holding political offices.

I certify the foregoing to be true and correct to the best of my knowledge. In the event of employment, I understand that
false or misleading information given in my application or interview(s) may result in my discharge.
In addition, should I be accepted for employment, I agree to:

a) Serve a probationary period of three months (during which time my employment may be terminated without notice)
b) Undertake a medical examination (as directed by the Company) to certify my physical fitness for employment, and
c) Follow the standing rules and regulations of the Company.

Signature of Applicant:
Date:

FOR OFFICE USE ONLY

Comments:

Start Date: