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Candidate Registration Form

- Step 1 of 9

RED 12 Recruitment Ltd records your CV and details on interviews we have arranged for you on a password protected cloud-based database and these details are stored in this database for 24 months or until no longer required, whichever is the sooner. If at any time, you would like to view the data we store in relation to you then please contact Jonathan Morey. There is no charge for this retrieval. If at any time you would like an amendment or deletion of the data, we store relating to you then please contact Jonathan Morey Your personal data will not be transferred to any third party other than those companies we have discussed during the registration process and any others that we agree subsequently.

Please complete this form in as much detail as possible.

PERSONAL DETAILS

Full Name *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Email *

National Insurance Number *

Nationality *

Date of Birth *

Work Eligibility

Are you eligible to work in the UK? *

Yes
No

Any offer of employment will be subject to successful verification of your right to work in the UK

Type of Visa / Work Permit

Visa Expiry Date

Emergency Contact

Emergency Contact Name *

Relationship to you *

Emergency Contact Phone *

Role & Availability

Type of work are you looking for *

Full Time
Part Time
Temp
Perm
Ad-hoc

Preferred Roles *

HGV Class 1 Driving
HGV Class 2 Driving
7.5t Driving
Van Driving

Earliest Start Date *

Preferred Shift Patterns *

Days
Nights
Weekends
Tramping
All

Min pay p/h - Days

Temp only

Min pay p/h - Nights

Temp only

Notice Period (if any)

Licence & Driving Information

Full UK Driving Licence *

Yes
No

Licence Number *

DVLA Share Code (for licence check): *

Driver CPC Card *

Yes
No

Digital Tachograph Card *

Yes
No

Licence Expiry Date: *

Endorsements / Penalty Points (if any)

Vehicle Types Driven *

Artic
Rigid
7.5t
Van
HIAB
Tipper
Others

Employment History

Please start with your most recent first in date order. We require a minimum of five years’ work history.

If you temped via a Recruitment Agency please state, the Agency’s name and list the clients you were assigned to.

Employer Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Position Held *

Job Description *

(daily duties, hours of work, etc)

Date From *

Date To *

Salary / Pay *

Reason for Leaving

Manager Name *

Manager Email *

Manager Contact number *

Employer 2

Employer Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Position Held

Job Description

(daily duties, hours of work, etc)

Date From

Date To

Salary / Pay

Reason for Leaving

Manager Name

Manager Email

Manager Contact number

Employer 3

Employer Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Position Held

Job Description

(daily duties, hours of work, etc)

Date From

Date To

Salary / Pay

Reason for Leaving

Manager Name

Manager Email

Manager Contact number

Please use the space below to explain any gaps in your employment.

Right to Work & ID Checks

Please provide or attach copies of the following:

Full UK Driving Licence *

Drag & Drop Files, Choose Files to Upload

Driver CPC Card *

Drag & Drop Files, Choose Files to Upload

Digital Tachograph Card *

Drag & Drop Files, Choose Files to Upload

Proof of Right to Work in UK *

Drag & Drop Files, Choose Files to Upload

(e.g., Passport, Birth Certificate)

DVLA Licence Check Share Code *

Drag & Drop Files, Choose Files to Upload

Proof of Address *

Drag & Drop Files, Choose Files to Upload

(e.g., Utility Bill or Bank Statement, dated within 3 months)

Health & Disability

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.

Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek? *

Yes
No

If yes, please provide details *

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service, attend interviews for positions and perform the type of work sought. Please specify.

Criminal Convictions

The following questions do not affect your rights under the Rehabilitation of Offenders Act 1974.

Do you have any unspent criminal convictions, as defined by the Rehabilitation of Offenders Act 1974? *

Yes
No

If yes, please give details: *

Do you have any potential criminal convictions pending which may result in a future prosecution? *

Yes
No

If yes, please give details: *

Should it be required, would you be willing to apply for a Disclosure and Barring Check? *

Yes
No

UK Residence

Please state any periods of residence outside your country of origin within the last 5 years and any periods of more than 12 months at any time.

Bank details (Temp only)

Name Account Held In

Account Number

Sort Code

Payment Method

Bank Name

Bank Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Declarations

(Temp only) Do you wish to opt out of the 48-hour average working limit (Working Time Regulations 2005)?

Yes
No

If No, please give a reason *

(Temp only) Are you willing to be tested for substance abuse at work?

Yes
No

If No, please give a reason *

Do you consent to the release of your details to our clients in order to find you work?

Yes
No

If No, please give a reason *

(Temp only) I agree my payslips will be issued by email.

Yes
No

If No, please give a reason *

Confirmations

I have downloaded and read the Driver Handbook

I confirm that the information provided on this form and within my CV is both truthful and accurate. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and subject to satisfactory references. Deliberate falsifying information will result in summary dismissal.

I authorise RED 12 Recruitment Ltd to seek work on my behalf and understand that they act as an Employment Business and Employment Agency.

I confirm that I will inform RED 12 Recruitment immediately of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work.

I expressly consent and authorise RED 12 Recruitment Ltd to contact the persons or organisations mentioned in my application for the purposes of obtaining current and previous employment reference information including information contained in my personal file(s).

These persons are authorised to disclose information as and such deemed necessary by RED 12 Recruitment to validate my CV and determine the accuracy of facts stated therein.

Name *

Date *

Message

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Job Search
Submit CV
- Candidate Registration Form
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Contact

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Office 1,
Wharfside House,
Prentice Road,
Stowmarket,
IP14 1RD

info@red12recruitment.com

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