PART C Job Reference Number: Candidate Id No: Referees Your referees will include your present (or most recent) employer. Please identify below the person in your organisation who is authorised to confirm your employment and the details given in your application, ie line manager. Please identify a second referee who may have closer knowledge of your skills, knowledge and abilities and who may offer opinion on your suitability for this post. You should not use family members or friends. Our pre-employment screening also includes, where appropriate, health and fitness for work, criminal records, qualifications and professional registration. Note that references will only be taken up for Preferred Candidates following interview. Name 1: Designation: Address: Post Code Telephone Email Name 2: Designation: Address: Post Code Telephone Email Disability The Disability Discrimination Act 1995 and Amended Regulations 2005 defines disability as follows: or mental impairment which has a substantial adverse effect on a ability to “any physical person’s carry out normal day to day Langabhat Medical Practice is about disabled activities”. “Positive and as such we provide job opportunities for disabled people. people”, Please specify any special requirements you require if attending for interview (e.g. Induction Loop, Wheelchair Access, Signer) Driving Licence (See job description - Only complete if a driving licence is essential) Do you have a driving licence? Yes No If yes, which categories are you entitled to drive For example - B, BE, C
Job Reference Number: PART C Candidate Id No: Referees Your referees will include your present (or most recent) employer. Please identify below the person in your organisation who is authorised to confirm your employment and the details given in your application, ie line manager. Please identify a second referee who may have closer knowledge of your skills, knowledge and abilities and who may offer opinion on your suitability for this post. You should not use family members or friends. Our pre-employment screening also includes, where appropriate, health and fitness for work, criminal records, qualifications and professional registration. Note that references will only be taken up for Preferred Candidates following interview. Name 1: Designation: Address: Post Code Telephone Email Name 2: Designation: Address: Post Code Telephone Email Disability The Disability Discrimination Act 1995 and Amended Regulations 2005 defines disability as follows: “any physical or mental impairment which has a substantial adverse effect on a person’s ability to carry out normal day to day activities”. Langabhat Medical Practice is “Positive about disabled people”, and as such we provide job opportunities for disabled people. Please specify any special requirements you require if attending for interview (e.g. Induction Loop, Wheelchair Access, Signer) Driving Licence (See job description - Only complete if a driving licence is essential) Do you have a driving licence? Yes No If yes, which categories are you entitled to drive For example - B, BE, C
PN_July_16%5B1%5D%20-%20English.docx