DSN Security & Events Application Form

DSN Application Form

Please fill out and attach
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Emergency Contact*

First NameLast Name
Emergency Number*
Please enter a valid phone number.
NI/UTR Number*
Qualifications/Training*
SCREENING & VETTING DECLARATIONS:

I certify that to the best of my knowledge, the information that I have given by me in this application is true and complete to the best of my knowledge and belief. I understand that any false statement or omission may render me liable to prosecution or dismissal without notice. I fully understand the consequences which may arise as a result of knowingly making a false declaration to gain employment or pecuniary advantage. (Theft Act 1968 Section 16). I accept that I may be required to undergo a medical examination were requested by the Company and I consent to the results of such examination being given to a Company Director. I further understand that a credit agency check may be carried out on me, and I give my consent to this. I understand and agree that if so, required I will
Have you any criminal convictions, cautions, reprimands, or final warnings against you excluding any convictions which are "spent" under the above Act?

make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment. I authorize the company to approach Government agencies, former employers, and personal referees for verification of my employment/unemployment record.

DISCLOSURE: You may be employed in a position of trust by a company or one of its subsidiary companies we may have to apply for a Disclosure from the Criminal Records Bureaux. However, having a criminal record does not necessarily bar you from employment. If you wish to obtain more information, please ask The Company Personnel Department for their Code of Practice or their policy statement regarding ex-offenders. Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. The Disclosure information is not retained i.e., it is disposed of within the timescales; recommended in the CRB Code of Practice. By signing below, you agree to this process
Have you any criminal convictions, cautions, reprimands, or final warnings against you excluding any convictions which are "spent" under the above Act?*

YesNo
DATA PROTECTION ACT 1998:

We will use the information you have given on this form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment within certain contracts managed by your employers. It may be necessary to disclose your information to our agents and other service providers. By returning this form to us you consent to our processing sensitive personal data about you where this is necessary, for example information about your past employment, finances, ethnic origin, or criminal offences. You also consent to the transfer of your information to your employers where this is necessary. Your information will be held on our computer database and in our paper filing systems. You have the right to apply for a copy of your information (for which we may charge a small fee) and to have any inaccuracies corrected.
Job Reference 1*

First NameLast Name
Email Address*
example@example.com
Character Reference 2 *

First NameLast Name
Email Address*
example@example.com
Bank Account Full Name*
Account Number*
Sort Code*
CV *

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Passport*

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SIA Badge

If this applies to you
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Recent Photo*

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Proof Of Address*

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Right to Work Share Code

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Proof of National Insurance *

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DBS within 12months

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Signature*

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DSN Application Form