Registration Form

First Name

Middle Name

Last Name

Address

Postcode

Telephone

Mobile Number

Email

Date of Birth

National Insurance Number

Eligibility to work in the UK & Ireland: You must bring the original documentation if invited to an interview as evidence of your entitlement to work in this country. Failure to do so will invalidate your application.

Please confirm which of the following you have:

British Passport or UK birth certificate

Certificate of registration / naturalisation as a British Citizen

Passport showing right to live & work in the UK

EEC passport or identity card plus work registration letter

Non-European passport with relevant work visa

Other document that supports your eligibility to work in the UK

What type of employment are you looking for?

Full Time

Part Time

Casual

Upload passport &/or visa

Choose File

Upload proof of NI

Choose File

Upload proof of address

Choose File

Upload a second proof of address

Choose File

Which Role (s) are you looking for:

Tell us 5 top qualities you have that will make you a great for the above position

Tell us 3 ways you will deliver world class service to our customers

Are you willing to relocate?

Yes

No

Maybe

Do you have a UK driving licence?

Full/Manual

Auto

Provisional

No

Upload the front of your driver’s licence

Choose File

Upload the back of your driver’s licence

Choose File

If required, please upload Front of Visa or Biometric

Choose File

If required, please upload Back of Visa or Biometric

Choose File

Are you willing to ride a moped/scooter?

Yes

No

Maybe

Do you have a CBT Certificate?

Yes

No

Please upload your CV

Choose File

Upload training certificate(s)

Choose File

Comity Recruitment wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The organisation needs your help and co-operation to enable it to do this but filling in this form is voluntary.

The information you provide will stay confidential and be stored securely and limited to only some staff in the organisation’s Human Resources section.

Gender

Male

Female

Non-Binary

Prefer not to say

If you prefer to use your own term, please specify here

Are you married or in a civil partnership?

Yes

No

Prefer not to say

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

Any other white background, please write in

Mixed/multiple ethnic groups

White and Black Caribbean

White and Black African

White and Asian

Prefer not to say

Any other mixed background, please write in

Any other Asian background, please write in

Black/ African/ Caribbean/ Black British

African

Caribbean

Prefer not to say

Any other Black/African/Caribbean background, please write in

Other ethnic group

Arab

Middle Eastern

Prefer not to say

any other ethnic group, please write in:

Do you consider yourself to have a disability or health condition?

Yes

No

Prefer not to say

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

If you prefer to use your own term, please specify here

if other religion or belief, please write in:

Criminal Conviction

Have you ever been convicted of a criminal offence which is not a spent conviction within the terms of the Rehabilitation of Offenders Act 1974? If yes, please give full details.

My signature confirms that all the information given on this application form is true and complete. I understand that any falsification or deliberate omissions may disqualify my application or lead to my dismissal. I confirm that I am entitled to work in the UK & Ireland and can provide original documentation to confirm this. I understand that my employment is subject to references that are satisfactory to comity recruitment.

Signature date

Next Of KIN – Contact Information (in case of emergency)

Name of person to contact

Relationship to you

Telephone Mobile

Home Address

Email Address

ENTER YOUR NAME to Declare the above information is correct

Today’s date

QUICK LINKS