| |APPLICATION FOR EMPLOYMENT | |
| |CONFIDENTIAL | |
|POST: | |JOB REF: | |
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|Applicants must not submit a CV as part (or in place) of their application form. Should you need to continue with any additional information for sections 4|
|to 7, please use the space allocated within section 8 of this form. |
|Further guidance on PSS Recruitment and Selection procedures can be found on our website www.recruitment.pss.org.uk.= |

|1. DECLARATION |
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|I declare that the information given within this form is correct and understand that on appointment any misleading statements or deliberate omissions may |
|be regarded as grounds for dismissal. |
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|Signature*: Date: |
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|* If you do not have an electronic signature, please type your name for the purposes of this declaration. |
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|It should be noted that any direct canvassing, other than in pursuit of further information about the vacancy for which you are applying, may result in |
|the disqualification of your application. |

|2. PERSONAL DETAILS |
|Surname: |Forename(s): |Title: |
|Address: | |
| |Postcode: |
| | |
|National Insurance No: |Email: |
|Date of Birth: