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  Welcome to NYK Logistics United Kingdom
September 3, 2010
Application Form
Application Form
The details given in this application form will be treated as strictly confidential.

Position applied for:
Have you worked for the company before?
 If yes: Please tell us the location and when

Personal Details
Surname:
Forename(s):
Title:
Date of birth:
Permanent Address:
Email Address:
Home Tel:
Work Tel:
National Insurance No:
Do you require a work permit to work in the UK?
Name, address and telephone no. of emergency contact:
Ordinary Driving Licence Details:
 Licence No:
 Class:
 Expires:
 Endorsements:
LGV Driving Licence Details:
 Licence No:
 Class:
 Expires:
 Endorsements:
Fork Lift Truck Licence:
Do you speak or write any foreign languages? Please specify which and level of fluency (If applicable):

Availability
May we telephone you at work?
When will you be available to start?

References  One being your most recent employer
Reference 1:
Name
Address

Reference 2:
Name
Address

Education and Training
Schools/Colleges/Universities attended:
Include the name, type (Secondary / Grammar / Comprehensive etc) and dates.


Particulars of Examinations Passed:
Include the subject, date, and grade.


Employment History  Present or most recent employment
Name and address of employer:

Employer's business:
Salary/Wage:
Employed As:
 From:
 To:
Brief description of duties and responsibilities, including number and type of any employees supervised:

Reason for leaving:

Previous Employment  Please complete in date order
Name and address of previous employer:

 Employed As:
 From:
 To:
 Reason for leaving:
 
Name and address of previous employer:

 Employed As:
 From:
 To:
 Reason for leaving:
 
Name and address of previous employer:

 Employed As:
 From:
 To:
 Reason for leaving:
 
Please use this space if you have any further employment details/information in support of your application:

Declaration
I hereby declare that to the best of my knowledge the information contained in this form is true, accurate and complete.
I understand that any false declaration may render me liable to summary dismissal.

Your name:
Date:

Equal Opportunities
Completion of this section is voluntary. Any information supplied by you will be treated in the strictest confidence and will be used purely to enable us to monitor the working of our Equal Opportunities Policy which aims to ensure that all job applicants and employees are treated fairly irrespective of sex, age, marital status, disability and ethnic origin.

Ethnic Origin:








I am:
Marital Status:

Other Information
Do you currently have (or have ever had) any disability?
 If yes: Please provide details
Do you need any special arrangements to be made to enable you to attend an interview or perform the job?
 If yes: Please provide details
If you have any criminal convictions which are not 'spent' under the Rehabilitation of Offenders Act 1974, please give details:

Please read the following statement before submitting this form

I understand that any job offer made to me will be subject to the receipt by NYK Logistics (UK) of a medical report and references which, in the opinion of NYK Logistics (UK), are satisfactory.

I hereby declare that, to the best of my knowledge, the information contained in this form is true, accurate and complete. I understand that any false declaration may render me liable to summary dismissal.

I am aware that any information I may have supplied in relation to criminal convictions, my ethnic origin, marital status and my physical or mental health are regarded as "sensitive personal data" under the Data Protection Act 1998. By signing this declaration I have given NYK Logistics (UK) my explicit consent to the processing of sensitive personal information about me. I understand that the information I have provided to NYK Logistics (UK) is necessary for and will be used in connection with this job application and my future employment with the company (if any) only, and that it will not be retained for any longer than necessary.