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Job title		AnyFull Time Secretary/Receptionist Barnstaple Office
Office location		AnyBarnstaple Bideford Bude Ilfracombe South Molton Torrington
Full/part time		Any Full time Part time
PERSONAL INFORMATION
title		Mr Mrs Ms Other:
first name *
surname *
address *
daytime tel *
evening tel
fax
email *
National Insurance Number *
date of birth (dd/mm/yy) *
Please state Driving Licences (include any points on your licence and any reason for them)
WORK HISTORY (begin with most recent)
employer * date from * date to * position * duties * reason for leaving *   employer * date from * date to * position * duties * reason for leaving *   employer * date from * date to * position * duties * reason for leaving *   employer * date from * date to * position * duties * reason for leaving *   employer * date from * date to * position * duties * reason for leaving *   employer * date from * date to * position * duties * reason for leaving *
QUALIFICATIONS
skills & experience gained
other information relevent to your application
do you consider yourself disabled under the disability discrimination act?
		YES    NO
do you require any particular arrangements for an interview?
		YES    NO
if yes please give details
Please hold my information for future reference (Data protection act,1988)
REFERENCES (Two are required)
Referee 1
full name *
telephone *
occupation *
Referee 2
full name *
telephone *
occupation *
DECLARATION
Are you legally eligable for employment in the UK?
		YES    NO
Do you require a work permit to work in the UK?
		YES    NO
I confirm that, to the best of my knowledge, the information I give here is correct.
type full name *