Eirscot Civil Engineering Limited

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Eirscot Civil Engineering Ltd-Application for Employment

Oaklands Industrial Estate, Essex Road, Hoddesdon, Herts. EN11 0BX
Tel:01992 470404, Fax: 01992 479009  E-mail:mail@eirscot.co.uk
Pre-Employment Questionaire - All Information Confidential
Personal Information - Please complete in block capitals Home No Mobile No Work No
Surname DOB Age  
Address: Nationality  
Marital status
Employment Desired   
Position applied for: Date you can start:
Ever applied to this company before?    When?
CIS 4    CIS 6    Confined Spaces   
360 Degrees CITB/CTA    Vat Registered?    CSCS Card   
NRSWA    Abrasive Wheels    Driving Licence   
Any other certificates
Are you registered disabled?    Registered Disabled No. Expiration Date
Name & location of School and Further Education & Training Yrs Attended Exams passed & Grades
Professional membership/ Qualifications Yrs Attended Exams passed & Grades
Employment History-(List below last four employers, starting with most recent employer)
Employment Duration Name & Address of Employer Rate Position Reason for leaving
References-Give below the names of three persons not related to you, whom you have known at least one year
Name Occupation Years Known Contact Details
Information to support your application:
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