TOTAL SECURITY SERVICES Application Form - Security Officer

Personal Details:
Mr Mrs Miss Ms Surname/Family Name: (as shown in your passport) ___________________________________________ First Name(s): ______________________________________________________________ (Any other name you are known as):____________________________________________ Full Current Address: ________________________________________________________ ___________________________________________________________________________ Postcode: _______________ Email Address: _____________________________________ Dates at this address: From: (Please give month and year) ________________ To: Present

Home Telephone number: __________________ Mobile Number: __________________ Date of Birth: _____________________ Nationality: _______________________ Have you lived outside the UK for more than 6 months in the yes last 5 years? Visa details, if needed: Indefinite leave to remain: Tier 1: Country of Birth: ________________________ National Insurance No: ___________________ no Tier 2: Spousal: Date of entry into the UK: ____________________________ Tier 4: Working Holiday:

Visa Expiry Date: _________________

What kind of UK/EU driving licence do you hold? Do you have your own vehicle?

Provisional Yes

Full No

None

Interview Information:
Do you require any adjustments to enable you to attend or participate in an interview? Yes Night Work:
Some of the roles may require overnight work.

No

Details (If yes) ________________________________________

Would you be willing to work nights?

Yes

No

Would any reasonable adjustments need to be made in order for you to carry out this position if it was necessary to work overnight?

Yes
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No

Details (If yes) ________________________________________

Page 1 of 4 Issue 3: November 2010 Total Security Services, Security House, 485 Hale End Road, Highams Park, London E4 9PT

Criminal Record Information:

Subject to the Rehabilitation of Offenders Act 1974, have you ever been cautioned or convicted of a criminal offence?
Yes

No

If yes, please give brief details: ___________________________________________________

_____________________________________________________________________
Have any County Court Judgments been issued against you? Yes No

If yes, please give brief details: ___________________________________________________

_____________________________________________________________________
Have you ever been declared Bankrupt? Yes No

If yes, please give brief details: ___________________________________________________

_____________________________________________________________________

Security Qualifications: Do you hold any of the following certificates?

Do you hold any valid SIA Licences? Licence number: __________________________ Licence number: __________________________ Yes No

Date Expires: ______________________ Date Expires: ______________________ No

Have you passed the Level 2 training course for your SIA Licence(s)? Yes Is your training: (tick box only) Door Supervision Security Guarding CCTV

Please give the awarding body: (EDI, Edexcel, NOCN or City & Guilds) __________________ Please give the award date(s): ___________________

Next of Kin Details:

Please provide name and contact number of the person you would like us to contact in the event of an emergency: (This information will only be used if you are accepted for training and/ or employment) Name: Their phone numbers: If you lived outside the UK more than 5 years ago, please give your home (or family) address: Their relationship to you: ____________________

How did you hear about us:

Job Centre Internet Friend Newspaper/ Press Agency Other _____________

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Page 2 of 4 Issue 3: November 2010 Total Security Services, Security House, 485 Hale End Road, Highams Park, London E4 9PT

5 Year History:
Please account for the whole of the last 5 years, including unemployment, self-employment and education. You must give FULL POSTAL ADDRESSES of Companies that you worked for, including oversees Companies. If you were not working for any period, please state if you were unemployed and claiming benefit or, unemployed and unregistered. Start with your current position and work backwards. If you were overseas during any of this time, it is your responsibility to provide references of employment for these periods.

Name and address of Employer Present Company Name: Address:

Dates Start Date: (month and year) Finish Date: (month and year)

Reason for Leaving

Post Code: Position Held: Telephone No: Previous Company Name: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Company Name: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Company Name: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Company Name: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Start Date: (month and year) Start Date: (month and year) Start Date: (month and year) Salary: Start Date: (month and year)
Can we contact this employer for a reference? yes / no

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Page 3 of 4 Issue 3: November 2010 Total Security Services, Security House, 485 Hale End Road, Highams Park, London E4 9PT

Character References:
Please give the name, address, telephone number and occupation of two people, not related to you, who have known you for a minimum of 2 Years within the past 5 Years. We may approach them for a character reference. Please ensure that you gain their permission prior to offering their names as character references. Do NOT include relatives, previous employers or persons residing at the same address as yourself.

Name: Address: Post code: Telephone: Relationship: How long have you known this person?

Name: Address: Post Code: Telephone: Relationship: How long have you known this person?

Personal Statement:
Please use this opportunity to support your application, stating why you would like to work with Total Security Services.

Declaration and Consent:

I understand that if I am offered employment with Total Security Services, I will be required to work day or night shifts including weekends as determined by operational requirements; I understand that employment with Total Security Services is subject to satisfactory references and security screening in accordance with BS 7858 and I undertake to cooperate in providing any additional information required to meet these criteria; I understand, also in accordance with the above, original identity documents produced will be scanned with an ultra violet lamp and any that appear to be forgeries will be reported to the relevant authority; I authorise Total Security Services to approach previous employers, schools/colleges, character referees and government agencies to verify the information I have provided is correct. I also understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment; I authorise Total Security Services to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies; I understand that some of the information I have provided in this application will be held on a computer and some or all will be held in manual records. All information gathered will be handled in accordance with the Data Protection Act 1998; I hereby certify that, to the best of my knowledge, the details I have given in this application form are complete and correct and I understand that any false statement or omission to the Company may render me liable to dismissal without notice. Signed: _________________________ Dated: __________________________
If you have not heard from us within 4 weeks of submitting your application, please consider that you have not been successful on this occasion.

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Page 4 of 4 Issue 3: November 2010 Total Security Services, Security House, 485 Hale End Road, Highams Park, London E4 9PT