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Employment Application Position Applied For: Mr.   Mrs.   Ms.   Miss First Name(s): Surname(s): Address: Contact Telephone: Home   Mobile   Work E-mail Address: N.I. Number: Nationality: Are you eligible for work in the UK?: Yes No Skills and Qualifications Summarise any special training skills or qualifications that are not included in your CV. Do you hold a valid UK Driving Licence? Yes No Number of Penalty Points Employment History Where applicable, please state the Company name and final salary details from your previous two positions, starting with the most recent: Employer: Final Salary: Employer: Final Salary: Employment History Please supply the name and address of at least two people we may contact for references. Reference 1: Reference 2: May we contact the above immediately? Yes No About You Do you consider yourself to be in good health? Yes No If no, please explain: It is understood and agreed that any misrepresentation by me on this application form will be sufficient cause for cancellation of this application and/or termination from the employer’s service if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organisations for furnishing such information. By submitting this form, you agree that the details contained within it are complete and accurate to the best of your knowledge. You understand that by submitting details that are later found to be incomplete or false will entitle MB Advertising & Marketing Limited to terminate your employment. I agree to these Terms: Yes No IMPORTANT: Once you have submitted the Application Form, please remember to send us a covering letter to support your Application along with your current salary details and Curriculum Vitae either to our postal address or via email.