Personal Information

 

Contact Information

 

Emergency Contact

 

Bank Details

 

Declarations

 

Have you any physical or mental condition that might affect your ability to do or be made worse by doing the job you have applied for?
Or do you have any physical or mental health condition that might affect your safety or The safety of others at work?
Or do you have any disabilities (as defined by the Equality Act 2010)?

Select one of the following statements A, B, C or D


A – This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State Pension or Occupational Pension.

B – This is now my only job but since last 6 April I have had another job or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State Pension or Occupational Pension.

C – As well as my new job, I have another job or receive a State Pension or Occupational Pension.

D – I work on a self-employed basis and am therefore personally liable for Income Tax, National Insurance or any other demands made by HMRC, or any other government department as a result of payments received from Ellis Noble Leisure Limited.

I have a Student Loan which is not fully repaid, and I have left a course of UK higher education before last 6 April and I received my first Student Loan instalment on or after 1 September 1998.

Select ‘No’ if you are repaying your Student Loan direct to the Student’s Loan Company by agreed monthly payments.

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