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Next of Kin details
We may contact this person on your behalf in emergency situations
Type of Work Required
Let us know what type of work are you looking for.
Criminal Record Disclosure
We are asking you to complete this form in relation to job roles which are not exempt from the
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020).
For this reason
you are only required to disclose information about unspent convictions.
You are not required to disclose spent convictions on this form.
Additionally,
you are not required to declare any information about ‘protected’ offences
– (offences to which the filtering rules apply). If you are unsure as to whether a conviction is
unspent/spent or protected (filtered)
please see the additional
guidance
or you can contact organisations such as
NACRO
or
Unlock
for further information
If you wish to be put forward for/if any role is identified which may be suitable for you but which is exempt from the
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020)
, meaning that you are required to disclose spent convictions, we will ask you to complete an additional criminal disclosure form. You are not required to complete that additional form if you do not wish to be put forward for that type of work.
Yes
No
Work History Details
Please ensure that the information provided is true and correct and can be verified by references from previous employers.
Bank Details
Please only provide details if you are the account holder. Aqumen Recruitment and our payroll providers are only able to make payments into bank/building society accounts in your name.
Health and Disability
We want to ensure that we provide work finding services to all work seekers fairly and equally.
Yes
No
Yes
No
Right to Work
Please select the link for guidance on acceptable right to work documentation, located
here
, and upload the required proofs below. Please note, the field below allows you to upload multiple files. To do so, please click the field and select all of the files you want to upload in one go.
GDPR Statement
Aqumen Recruitment provides work-finding services to its clients and work-seekers. We must process personal data (including sensitive personal data) so that we can provide these services. This is why we have asked for your personal data on this form. When we process your personal data we must do so in accordance with data protection laws. Those laws require us to give you a Privacy Statement to explain how we manage your personal data. This is attached to this application pack.
HMRC Starter Checklist
When you start work we will need the information on this form to ensure that HMRC applies your correct tax code.
A - This is my first job since 6 April and I’ve not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
B - This is now my only job but since 6 April I’ve had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
C - As well as my new job, I have another job or receive a State or Occupational Pension.
Yes
No
Yes
No
Yes
No
Plan 1
Plan 2
Both
Yes
No
Yes
No
Yes
No
Candidate Declarations
Agree
Agree
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
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