Personal Information Passport / Security Information
Title:
Nationality:
Surname:
Passport Number:
Forenames:
Visa Type:
Mobile Number:
Visa Expiry Date:
Home Number:
Time Resident in UK:
Email Address:
Height :
Address:
Colour of Eyes:
Post Code:
Colour of Hair:
Date of Birth:
 
Place of Birth:
Emergency Contact information
NI Number:
Next of Kin:
NHS Medical Card No:
Their Contact Details:
Marital Status:
Emergency Contact:
Any previous convictions: Please give details
Contact Number:
Anticipated Length of Stay  
Previous Employment: Driving Licence and Tickets
Company:
Drivers Licence:
Address:
Country:
Start Date:
Drivers Licence Number:
Finish Date:
Number of Years Held:
Contact Name:
Categories Endorsed:
Telephone Number:
Vehicle Owner:

Additional Skills information:

Applicable to industry:
(e.g. Languages - state fluency; Carpentry, First Aid, Rigging, Staging)

State Type:
Forklift Licence:
Type:
Telehandler Licence:
ScissorLift Licence:
Cherry Picker Licence:
Where did you hear about Gallowglass?
Why do you want to work with Gallowglass?

PASSPORT, LICENCES & PASSPORT PHOTOS MUST BE BROUGHT TO INTERVIEW

If you have a CV, please email it to HR-North@gallowglass.co.uk

Declaration

I confirm that all information supplied is correct. I understand that any false information deliberate omissions will nullify my application. All sections must be completed in full for this application to be valid.

I consent to Gallowglass using and keeping my information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties such as referees, relating to my application or future engagement. I understand that the information provided will be used to make a decision regarding my suitability for inclusions in the database, and if successful the information will be used to form my personal records. If I am not successful, I understand that Gallowglass will retain the form for as long as is deemed necessary and that Gallowglass may use it to contact me in future.

 

Crew Recruitment Form - Leeds