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London Pub Co.
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The information you provide on this application form is solely to assess your suitability for employment.
The information will be held in 'The Original London Pub Company' personnel files. Information on unsuccessful applicants will be confidentially destroyed after three months, or returned to you at your request within this time frame.
For the position of Single including accommodation
Couple including accommodation
Personal Details
Surname
First Names
Email Address (must be provided)
Address
Marital Status Gender  
Height (m)
Telephone Numbers - Day
Evening
Date of Birth
Country of Birth
Planned Departure Date
Planned Arrival Date
Do you require a permit to work in England ? (see 'Requirements' section) Yes
No
Educational Qualifications
Include School, Tertiary, Courses. Please list Name, Years Attended and Qualification Obtained
Do you have any physical or health disabilities that would hinder performance in your employment? Yes No. If yes, give details :
Criminal Convictions
Have you ever been convicted of any offences? Yes No . If yes, give details : 
Are you currently awaiting the hearing of any charges? Yes No. If yes, give details :
Previous Employment 1  (beginning with most recent)
Business Name  
Business Address
Position Held
From To
Name and Position of Supervising Manager
Ph
Reason for Leaving
Previous Employment 2
Business Name  
Business Address
Position Held
From To
Name and Position of Supervising Manager
Ph
Reason for Leaving

Any further information you may like to add in support of your application, give here

I hereby authorise The Original London Pub Company to collect personal information about me which is directly related to this application, from the persons named above. I also authorise those named persons to disclose to The Original London pub Company any such information they may hold.

I certify that the information given in this form is complete, true and correct



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© Copyright 1998 The Original London Pub Company
ph 0414355519 PO Box 192 Balaclava, Vic 3183, Australia.
ABN Number 42 084 023 236