Page 1

PERSONAL INFORMATION
(CONFIDENTIAL)
Post Title:

Job Reference Number:

1. Personal Details
Title: MRS

Forename: OANA

Surname: PADURARU

Address: IASI, SOS. BUCIUM, NR. 55, ET.1, AP.6

Contact Details: (Please tick preferred contact detail)

Email address:

oanaforest71@yahoo.com

Telephone:

0040754846004

__________________
__________________
__________________

NMC PIN Number: 15I0590C

Are there any restrictions on your NMC Pin Number and therefore to you practising as a nurse:

NO

Details of Outstanding /On-going NMC referrals(if Applicable): I have PIN number -

Wage/Salary Required: 15 pounds/hour

2. General
Do you hold a current UK driving licence?
Is it Full / Provisional / LGV / PCV licence? NO
Do you have any points / endorsements?
Are there any adjustments that you would require should you be invited for interview? NO
If so, please state here:

Please indicate two people who can provide employer references - one should be your present/most recent employer:
Name:MAXIM MARIA
Address:

Name MARCU DOINA

Address:

Tel. No. 0040748428246

E-mail: rusumaria1975@yahoo.com
Occupation: G.P. + specialist gastroenterologist

Tel. No.0040755537007
E-mail:mdoina_is@yahoo.com
Occupation: Deputy Manager at Nurses College

I give permission to take up my reference prior to an offer of

employment being made
(delete clearly as appropriate)

PERSONAL INFORMATION CONTINUED

(CONFIDENTIAL)

I give permission to take up my reference prior to an offer of

employment being made
(delete clearly as appropriate)

3. Employment History
Please give details of all jobs held for the previous 10 years including part time and unpaid work, starting with your current or most
recent employer.
Please include details of any periods of unemployment.
Employer (Name & Full
Dates From - To
Job Title & Duties / Key Achievements
Reason for Leaving
Address)

Sf. Spiridon Emergency

Hospital

17.07. 2006present

Audio-optica - Medical
Manager (a foreign
corporation that deals with
auditory prosthesis)

Part time
01.09.200414.04.2006

S.C. Doming Med SRL Iasi

Medical Manager(my own
business in home health care

01.03.200714.04.2009

Aplllonia Dental University

15.02.2011- present
Nursing teacher at Gr. Gh.
Voda Nurses College
Iasi(15.07.2006 - present)

15.02.2011present

15.09.2008present

General nurse/specific healt care in

Emergency Clinic, Immunology and Alergology
Clinic

- Medical Manager (a foreign

corporation that deals with auditory
prosthesis)/sale and auditory
prosthesis, accounting.

Medical Manager(my own business in

home health care)/company management,
making/performing home health care.
-General nurse/annual health check of
University students, with G.P. check Body
Mass Index, height, weight, blood pressure
measurement, BP, ultrasound, ecc.
-Teacher of nursing and management.

Employment in
hospital

I gave up for
dedicated my
students

Please continue on a separate sheet if necessary, giving page number and title heading

Page 2

PAGE 3
PERSONAL INFORMATION CONTINUED
(CONFIDENTIAL)
4. Educational, Technical and Professional Qualifications
Please give details of all educational establishments that you have attended, and qualifications achieved, starting with current /
most recent.
Please also include any professional bodies that you are a member of, and level of membership.
Establishment (Name & Full Address)

Qualification(s)

Technical University of
Iasi (1990 - 1996)

Engineer in
Construction at
Arhitecture and
Constructions

Gr. Gh. Voda Nursing

College of Iasi (2001 2004)
Specialist in Public
Relation and
Communication at
Danubius University of
Galati Public Relation
and Communication
College (2011-2014)
Gheorghe Asachi
Technical University- 2010-

General Nurse

Specialist in Public
Relation and
Communication

Grade / Level

2011- psychological and

pedagogical mode

Masters Health
Manager(2006-2007)
-Trainer qualification
2015
-Qualified Project
Manager -2015
- Skilled Evaluator of
Projects - 2015

Psychological and
pedagogical modeTeaching in
Education

-specialist in Health
Management
-trainer
-Project Manager

National

Center

for
-Evaluator of Projects

Professional
Development

of

generalist Nurses, the

-specialized program -

Nurses, Midwives and

obtaining specializations
in complementary
domains nurse
laboratory.

other staff assimilated

(NCPDGNGMOSA)
-01.2015-10.2015

5. Personal Development
Please give details of any memberships, voluntary work, hobbies or interests that may have relevance to the role you have
applied for.

Memberships in Order of Nurses, Midwives and Medical Assistants in Romania, Branch Iasi.
Hobbies gardening, cooking, ecc

Please continue on a separate sheet if necessary, giving page number and title heading

PAGE 4
PERSONAL INFORMATION CONTINUED
(CONFIDENTIAL)
Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK?

Yes

NoX

If Yes, please provide details:

If you are successful in your application, would you require a work permit prior to taking up employment?

Yes

NoX

Data Protection Statement

The information that you provide on this form and that obtained from other relevant sources will be used to process your application
for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment
process.
If you succeed in your application and take up employment with us, the information will be used in the administration of your
employment with us and to provide you with the information about us or third party via your payslip. We may also use the information
if there is a complaint or legal challenge relevant to this recruitment process.

We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain
third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.
By signing the application we will be assuming that you agree to the processing of sensitive personal data, (as described above), in
accordance with our registration with the Data Protection Commissioner.

6. Declaration
I confirm that to the best of my knowledge and belief the information I have given in support of my application is correct, and understand that
any misleading statement or deliberate omission may result in my dismissal and a claim for damages.
I hereby consent to the processing of sensitive personal data, as defined in the Data Protection Act 1998, involved in the consideration of this
application.
Signature

.............................................................................................................................................

Date

..........................

PAGE 5
REHABILITATION OF OFFENDERS ACT 1974
(CONFIDENTIAL)
Applications from ex-offenders are welcomed and will be considered on their merit. Convictions that are irrelevant to this job will
not be taken into account. You are required to disclose any convictions, which are not 'spent' by virtue of the Rehabilitation of
Offenders Act 1974.
The Rehabilitation of Offenders Act does not apply to certain specified professions: these are mainly medical, legal or
accountancy professions. Neither does it apply to posts which involve contact with children, young people or vulnerable adults. In
any of these cases you should state any convictions, cautions, reprimands or final warnings which would not be filtered in line with
current guidance below, including any that are spent, giving details of date (s), offence (s) and sentence (s) passed.

Have you been convicted of a criminal offence?

Yes
NoX
If Yes, please provide details of date (s), offence (s) and sentence (s) passed:

If you are applying for a post which involves contact with either children or vulnerable adults, please also confirm that
you are not listed on either of the following (as appropriate):
X

I confirm that I am not listed on the children's barred list.

I confirm that I am not listed on the adults' barred list.

AND
X

I declare that I have no past convictions, cautions or bind-overs and /or pending cases affecting why
I might be considered unsuitable to work with children and vulnerable adults.

I give my on-going consent to the Company that they may retain a copy of my enhanced disclosure certificate in
accordance with data protection provisions ,as part of the recruitment process ,if I were to be offered employment
with the Company.

I give my on-going consent to the Company to do DBS status checks on me as per Company Policy if I were to be
offered employment with the Company.

Signature

Date:

The information you provide will be treated as strictly confidential and will be considered only in relation to the job for which you
are applying.
How did you become aware of this vacancy?
If referred by an existing staff member , then please provide full name of the referee and name of the home they work in: