UK BEST SERVE LTD Blank Form (#3)Personal Details:Title- Select -MrMrsMsMiss Male FemaleFirst NameLast NameResidential AddressPost CodeDate of BirthMobilePhoneEmailNI NumberUK driving Licence- Select -FullProvisionalEntitled to work in UK? - Select -YesNoImmigration Status?- Select -YesNoVisa TypeAlready worked in Care home- Select -YesNoDetails of work:Do you have Health & Social Care Level 2 Certificate- Select -YesNoOther relevant qualifications:Work History:Start with your current or most recent employment and work backwardsFrom (MM/YY)To (MM/YY)EmployerJob TitleReason you LeftYour references:Refree no.1Refree NamePositionName of OrganizationAddressEmployee DateFrom (DD/MM/YY) To (DD/MM/YY) Refree no.2Refree NamePositionName of OrganizationAddressPhoneEmailEmployee DateFrom (DD/MM/YY) To (DD/MM/YY) Refree no.3Refree NamePositionName of OrganizationAddressPhoneEmailEmployee DateFrom (DD/MM/YY) To (DD/MM/YY) DECLARATIONS Please read the following statements carefully. If there is anything you do not understand, please ask before you sign at the bottom of the page. I, the job applicant named on the front of this form, confirm that the information I have given in this application is accurate and true to the best of my knowledge. I also understand and agree that: The company may make checks to verify the information I have provided; Providing misleading or false information in this form or at any other time during the application process may disqualify me from appointment or, if I have already been appointed, may result in my dismissal; The personal information I have provided in this form (and any other personal information that I or my referees may provide) is confidential and will be handled in line with the Data Protection Act 1998; If my application is unsuccessful, the company will keep only basic information about me and destroy the rest; If my application is successful, my personal information will be used for legitimate purposes only The company may process my personal information for the purposes described above or as otherwise permitted or required by law in line with its registration with the Information Commissioner; Any offer of employment will depend on the receipt of satisfactory employment references and the satisfactory completion of a criminal records disclosure (see part six above); I will be required to complete a pre-employment induction training programme prior to my starting work Submit Form