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Advertised In / Other Reason For Application:
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If YES, What Was The Issuing Country?:
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No. of Dependant Children:
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Do You Hold A Full Driving License ?:
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If Any Endorsements, Please Give Details:
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Please give details here of any conviction from which you are not deemed to be rehabilitated under the provisions of the Rehabilitation of Offenders Act 1974. State "NONE" if none.
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Medical Details
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Please give brief details of any major illnesses, operations, accidents or disabilities. State "NONE" if none.
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No. of days off work through illness last year:
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Are you registered disabled ?:
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If you are registered as disabled, please give your Reg. No.
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Present Employment (or most recent position held)
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Name And Address Of Employer:
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Main Duties & Responsibilities:
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Previous Employment 1
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Previous Employment 2
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Name And Address Of Employer:
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Education
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Tertiary Education
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to
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Secondary Education
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Secondary School Attended:
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Secondary School Address:
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to
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Please Detail
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Please list any other educational qualifications that you hold:
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Professional Qualification Details, please give dates:
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Other Languages, ( Please give an indication of proficiency)
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Leisure Activities
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Are you related to any other employees of Mason Land Surveys?:
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If YES, please give details:
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Referees ( NOTE: One should be your present / previous employer)
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Daytime Telephone Number:
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Can this person be approached before any offer of employment?:
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Daytime Telephone Number:
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Can this person be approached before any offer of employment?:
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Mason Land Surveys are an equal opportunities employer.
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