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Private and Confidential
Recruitment Administration Team
Human Resources
2nd Floor, South Annexe
Town Hall, Brighton Street
Wallasey
Wirral CH44 8ED
APPOINTMENT OF «JobTitleSection» «Post_No» |
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Candidate : «CanSal» «CanInit» «CanSurname» |
Referee: «RefSal» «RefInit» «RefSurname» |
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1 Employment details with you |
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Post |
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Period of Employment - please provide exact dates for Continuous service (if applicable) |
From To |
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Main Duties Performed |
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Reason for leaving your employment |
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2 Health |
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During the last two years of employment with you: |
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Number of times off sick |
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Total number of days off sick |
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3 Employment Record |
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During employment with you did he/she achieve anything of particular note? If so, please provide a brief description
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![]()
Private and Confidential
Recruitment Administration Team
Human Resources
2nd Floor, South Annexe
Town Hall, Brighton Street
Wallasey
Wirral CH44 8ED
APPOINTMENT OF «JobTitleSection» «Post_No» |
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Candidate : «CanSal» «CanInit» «CanSurname» |
Referee: «RefSal» «RefInit» «RefSurname» |
Please use the space below to add your comment on the candidate's ability to :-
Please note that your comments will be shown to the candidate if she/he asks to see them. |
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Signed……………………………………..……………………..
Date………………….……………….. |
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AW2043/GC
This is 100% recycled paper |
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If you are writing a personal reference please ignore this page. This page applies to current or last employer of the candidate.
This page applies to both personal referee and last or current employer of the candidate.