Sovereign Games Application Form

Please return to: Sovereign Games Ltd. 9 Brown Place. Leeds. LS110EF

Position Applied for Salary Required Department.
Surname
 Forename Middle name Title
Address
District Town / City Post Code
Date Of Birth
 Marital Status
 Number of Dependants
 Ages of Dependants
Ethnic Origin as specified by the Equal Opportunities Commission (White/ Black Caribbean/ Black African/ Black/ Indian/ Pakistani/ Bangladeshi/
Chinese/ Other please specify.
Registration if Disabled
 Next of Kin
 Emergency Contact No.

Education
Dates

School/ College/ University

 Qualification

   

   

   

   

   
Professional / Membership Qualifications

Medical
Are you currently receiving medical treatment - Y/N
 Have you ever had a serious accident or illness - Y/N
Does your family suffer from any hereditary illness - Y/N
 Do you have any physical disabilities - Y/N
If YES to any give details
What is the state of health of your Partner / Dependants

Present or Most Recent Employment
Position Held
 Final Salary
Date Started
 Date of Leaving
 Reason For Leaving
Employers Name & Address
Telephone Number
 Type of Business
 Notice Period Required
Summary of Duties & Responsibilities

Previous Employment
Dates Employer Reason For Leaving

   

   

   

   

General Information
Do you have any holiday commitments? If so give details.
Do you have any other commitments that may affect your hours available for work? - Y/N
 Do you have a part time job? - Y/N
Do you hold or have held any Company Directorships? - Y/N
 Have you ever been dismissed? - Y/N
If Yes to any of the above please give full details:
Would you be willing to work anywhere in the UK - Y/N
 Please state areas of preference in the UK
Please supply any additional information relevant to your application

Previous Record
Have you ever been convicted of a Criminal Offence? - Y/N
 Are there any County Court Judgements against you? - Y/N
 If YES give details
The Company may require you to make an application under the regulations of the data Protection Act1984 to the Police for information held on the Police National Computer about you. Do you agree - Y/N

Vehicle Driving Details
Have you been involved in any accidents in the last 3 years? Y/N
 Have you ever been convicted of any motoring offences? Y/N
Is there any prosecutions against you? Y/N
 Do you suffer from anything that may impair your driving? Y/N
Have you ever been banned from driving? Y/N
 Have you ever been refused Insurance? - Y/N
If YES to any of the above give details
 Driving Licence Number (please bring to interview)

References
Please give the name and address of two refferees, one of which must be your present or most recent employer, Your present employer will not be contacted without your permission







Telephone Number		 Telephone Number
The information given above is accurate and complete to the best of my knowledge. I understand that any subsequent appointment is subject to satisfactory results of references and may involve an examination. Any false statement renders me liable to termination of subject to satisfactory results of references and may involve an examination. Any false statement renders me liable to termination of employment.
Signed:
 Date: