Title: Miss / Ms / Mrs / Mr / Other _______ (please circle)
Forename: _____________________ Surname: ______________________
Home Tel: _______________________ Mobile: ______________________
N.I. Number: ________________________
Do you require a work permit to work in the UK? Yes □ No □
If Yes, do you have a valid work permit? Yes □ No □
Expiry date of work permit _____________________
Do you have any criminal convictions which are not “spent” under the Rehabilitation of Offenders Act 1974? Yes □ No □
If Yes please provide ...view middle of the document...
I understand that any offer of employment made by Allianz Insurance is subject to receipt of satisfactory references prior to joining.
I also understand that Allianz Insurance will be unable to progress my application for employment if the information supplied on this form or the employment application form differs from that supplied on references.
I hereby apply for employment with Allianz Management Services Ltd and declare that the information I have given is correct.
I confirm that to the best of my knowledge the information I have provided is correct. I understand that withholding relevant details or giving false information may disqualify me from employment at Allianz and render me liable to summary dismissal.
Print name ______________________________
Signature ______________________________ Date ____________________
DATA PROTECTION DECLARATION
I understand that Allianz Management Services Ltd will store the personal details supplied by me or by third parties and may use this information for personnel, employment and pension administration purposes and to meet any...