APPLICATION CARD - INDUSTRIAL STAFF

Today's Date:

Name: Date Of Birth: Marital Status: National Insurance Number:     Address: Postcode:

Tel No:		Education:
Contact:
Nationality:

Driving Licence No:

Expiry Date:

Points:

EXPERIENCE (please tick) F.L.T.C C/Balance F.L.T Reach Order Picking Chilled O/Picking General Warehouse Stores/ Stock-Take Quality Control Production Work Packing Work Van Driving Driver's Mate Furniture Removals Map Reading Other

POSSESSIONS Safety Footwear Overalls Transport Own Telephone Mobile Maps Gloves WORK PREFRENCES Day Shifts 0600 - 1400 1400 - 2200 2200 - 0600 Mid Shifts Weekends Other

ADDITIONAL INFO MISCELLANEOUS Will You Travel? Yes No Available To Start? Are You Reliable? Yes No Is it Your Own Car? Yes No Min Pay Rate: Your Age:

EMPLOYMENT HISTORY
Name and Address of previous Employers	Business	Position	Period	Contact
Prefrences:
Skills and Abilities: