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Rail New Starter Application
Excell Rail Ltd is committed to a policy of equal opportunities for all work seekers and shall adhere to such a policy at all times and will review on a non-going basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally irrespective of sex, sexual orientation, gender reassignment, marital or civil partnership status, age, disability, colour, race, nationality, ethnic or national origin,religion or belief,political beliefs or membership non-membership of a Trade Union and we place an obligation upon all staff to respect and actin accordance with the policy.
Excell Rail shall not discriminate unlawfully when deciding which candidate/worker is submitted for a vacancy or assignment or in any terms of employment or terms of engagement forworkers.Excell Rail will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualification and ability to perform the relevant duties required by the particular vacancy.
Postion(s) Applied for
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Personal Details
Sur Name
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For Name
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Date of Birth
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Nationality
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Address
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Postcode
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Telephone Number
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E-mail Address
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Ni Number
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UTR
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In case of emergency please provide details of someone we may contact(next of kin)
Title: Mr/Mrs/Miss/Ms
Name
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Address
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Post Code
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Contact Number
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Relationship
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Sentinel
Personal Track Safety (PTS)
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Hand Trolley
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Controller of Site Safety (COSS)
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Crane Controlle
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Lookout/Site Warden (LKT)
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Level Cross in gAttendant (AOD-LXA)
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Engineering Supervisor(ES)
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Protection Controller (PC)
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Strap man
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Other
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London Underground
LUA-LU
ICI-LU
LUL-CAS (AHS&E)
LUL Track/Depot Awareness
LUL Site Person in Charge
LUL Track Trolley Operator
Lift & Escalator/Machine Room Awareness
Fire Watchperson
Dept 'Area A' Permit
QAF 54
LUL Sub Station Aware
Safe Isolation Level 3
DLR Track awareness
DLR PICOW
CBH Card
Other Metro Tickets
General
DrivingLicence (FullY/ N– CleanY /N )
LGV/PSV Licence Class
CSCS (Level)
CPCS (M/C’s)
JIB
ECS Certificate
First Aid at Work
Emergency First Aid
NRSWA
IPAF
FIRAS
Working at Heigh
Confined Spaces (Cp 1)
Confined spaces and rescue (Cp 2)
Cat scan (RD400D/ 400)
CISR
Asbestos Awareness
PASMA (Advanced Y / N)
Have you ever been dismissed for Railway related transgressions?If so, please give details
Employement Details
Present/Last Employer
Job Title & Main Duties
start /Leaving Dates
Present/Last Employer
Job Title & Main Duties
start /Leaving Dates
Present/Last Employer
Job Title & Main Duties
start /Leaving Dates
Employment References (Within the last two years)
References 1
References 2
Employed as:
Employed as:
Date of employment to/from:
Date of employment to/from:
Reference Name:
Reference Name:
Reference Job Title:
Reference Job Title:
Company:
Company:
Address:
Address:
Reference Contact No:
Reference Contact No:
Will you relocate if job requires it?
Yes
No
Will you work overtime if required?
Yes
No
Will you travel if the job requires it?
Yes
No
Will you work shifts or other flexible working arrangements if required?
Yes
No
Type of employment required?
Full Time
Part Time
Temporary/Contract
Seasonal
How much notice must you give?
Date available to commence employment:
Criminal Convictions (please delete clearly as appropriate)
Do you have any unspent* criminal convictions?
Yes
No
If yes,state convictions and dates:
*Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relationto positions involving working with children or vulnerable adults,details for all criminal convictions must be given.The information given will be treated in the strictest of confidence and only taken in to account where, in the reasonable opinion of One Way,the offenceis relevant tothe post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.
Permission to work in the UK
Do you have immigration permission to work in the UK?
Yes
No
line with UKBA guidance on the prevention of illegal working, we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by OneWay for work.
Candidate Declaration
I hereby confirm that the information given is true and correct. I consent to my personal data andCV being forwarded to clients. I consent to references being passed on to potential employers. If, during the course of anassignment, the Client wishes to employ me direct, I acknowledge that OneWay will been titled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client(after which I may be employed by the Client without further charge being applicable to the Client).
Signed by candidate
Signature
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Print Name
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Date
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