Exclusive Registration Form

Please complete the following form to register with Exclusive Human Resources.

Please note that this form is encrypted for your security - any details you submit are securely posted to our servers.

Personal Details

Title:

Surname:

Forename(s):

Nationality:

Are you eligible to work in the U.K?

Yes No

Address:

Town / City:

County:

Postcode:

Tel. Home:

Tel. Work:

Tel. Mobile:

Email:

Please check this box if we can contact you with careers information (this may include salary survey information, HR newsletters and events notification).

Yes - please contact me.

Do you hold a full drivers licence?

Yes No

If you do have a full drivers licence, are there any endorsements?

Yes No

Do you have any Criminal Convictions other than those spent under the Rehabilitation of Offenders Act 1974?

Yes No

If you have a disability please tell us about any adjustments we may need to make to assist you at interview.

Details:

What type of work are you looking for?

Work Type:

Qualifications / Skills

University / College:

Qualification(s) / Grade(s):

Professional Qualifications and Membership Number:

HR Skills

Please indicate what additional skills you have and your relevant level of competency.

Training Skills

List any other skills you wish to be considered in your application

Other Skills:

Attach CV:

Referees

Please give contact details for any referees you wish to specify.

Please note we will not contact your current employer without prior consent.

Referee 1

Name:

Job Title:

Company:

Address:

Telephone Number:

E-mail:

Referee 2

Name:

Job Title:

Company:

Address:

Telephone Number:

E-mail:

Additional Information

Please tell us where you heard about Exclusive Human Resources.

Details:

Please tell us which web sites and magazines you use when job hunting.

Details:

Statement

I Certify that the information which I have provided in this registration form and in my CV has been compiled personally, given in good faith and is accurate to the best of my knowledge.

I hereby appoint Exclusive Human Resources to act on my behalf in arranging assignments with clients.

Exclusive Human Resources do not charge a fee for providing this service. Exclusive Human Resources undertakes not to disclose any confidential information about me, the candidate, without my prior consent.

I agree with the statement.