http://www.oxprod.com/images/Pdfs/Application%20Form%20010504

CONFIDENTIAL

Oxford Products Ltd, De Havilland Way, Windrush Park, Witney, OXON, OX29 0YA Tel: 01993 862300 Fax: 01993 862320 www.oxprod.com info@oxprod.com

This application should be completed in full even if a C.V. is enclosed. A photocopy of your driving license (if you have one) should accompany this application. A recent colour photograph of you may also be enclosed.

Legal requirement: please bring to interview one of the following: your passport; a document showing your NI number; your birth certificate; a letter from the home office proving entitlement to work in the UK.

Job applied for:

PERSONAL DETAILS (Please complete this form in black ink and typescript so that it can be photocopied.)

Mr/Mrs/Miss/Ms/Dr.

Surname

First Name

Home Address

Postcode

Home Telephone/Fax

Mobile/Daytime contact no.

Passport checked & copied?

Email Address

Date/s Available for Interview

Date Available for Employment

Notice required

Date of Birth

Place of birth / Nationality

Age

Marital Status

No. Children

Age/s

Other dependants

Your approx. Height & Weight

Current salary

Full Driving License?

No. Points on License/How old?

How long have you held your license?

Details of any drink-driving convictions or prosecutions pending

Details of any other driving convictions during the last 5 years

GENERAL DETAILS Please give details (with dates) of any previous applications to OXFORD PRODUCTS LTD

Please note any questions you would like answered at interview

Please state any preferences for, or limitations on location

Please give details of any serious illnesses, disabilities or long-term health problems, together with any prolonged periods in hospital. These may include depression, back/knee/hip/eye problems

If you have ever been refused insurance, please provide details

Please give details of any unexpired criminal convictions

Please give details of membership to any clubs, associations or trade unions

What is your long-term ambition?

EDUCATION Secondary school/College attended and dates From

: To

Name(s) of School(s)/College(s)

Subjects PASSED with GRADE

UNIVERSITY Please give dates of commencement and completion of degree course

CLASS of Degree - e.g. Ordinary, Honours, etc.

WORK EXPERIENCE Starting with the most recent, please give details with dates, of any previous work experience including part-time work, vacation work, industrial training and vacation courses. Please include the Reason For Leaving for all permanent positions held.

JOB Title/Dates

Employers name and address

Reason For Leaving

VOCATIONAL TRAINING Please give details with dates, of any vocational training courses you have attended.

Course

Conducted by

Date/s

LEISURE ACTIVITIES AND INTERESTS Please describe the activities you choose in your pastime.

What satisfaction do you derive from them?

FURTHER IINFORMATION Please disclose any further information about yourself which you feel we should know

PERSONAL STATEMENT: SKILLS, ABILITIES, ATTITUDE Please use this space to market yourself effectively yet concisely. We are interested to hear about you as an individual; your greatest successes; your failures and what you have learned from them; your strengths and how we can harness them; your weaknesses and how we can develop them; your motivation to work for Oxford Products Ltd. We do not wish to read a list of recruitment clichĂŠs.

Please provide details of two referees from past employment whom we may approach.

1.

2.

Name:

Name:

Address:

Address:

Occupation:

Occupation:

I declare that the information contained in this form is correct to the best of my knowledge. I understand that failure to disclose correct and full information at this stage could result in summary dismissal at a later stage if my application is successful.

Signed:

Date: