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Application form

Application form Thank you for applying to Mott MacDonald. As a minimum, please complete this front
Application form Thank you for applying to Mott MacDonald. As a minimum, please complete this front

Thank you for applying to Mott MacDonald. As a minimum, please complete this front page and sign page 4 after reading it. You may then either attach your own curriculum vitae OR complete pages 2 and 3. The completion of page 5 (inserted) is not obligatory but is useful for our monitoring purposes.

Position details

Position

applied for

Location

Applicant details

details Position applied for Location Applicant details Ref MM use only Title and ID Number Surname

Ref

MM use onlydetails Position applied for Location Applicant details Ref Title and ID Number Surname First name(s) Other

applied for Location Applicant details Ref MM use only Title and ID Number Surname First name(s)
Title and ID Number Surname First name(s) Other name(s) Permanent address Temporary address (if applicable)
Title and
ID Number
Surname
First name(s)
Other name(s)
Permanent
address
Temporary address
(if applicable)
Postcode
Postcode
Telephone/HP
Telephone/HP
Home e-mail
Dates at this address
Have you made any previous applications to Mott MacDonald? (if YES, please give details)
Yes
No
to Mott MacDonald? (if YES, please give details) Yes No Remuneration package expectations Disability If you

Remuneration package expectations

give details) Yes No Remuneration package expectations Disability If you have a disability, please let us

Disability If you have a disability, please let us know if you require any special help to assist you in the recruitment process.

If you have a disability, please let us know if you require any special help to

Please complete the education and employment history sections OR attach your own curriculum vitae

Education

CV attached?

Yes

CV attached? Yes No

No

own curriculum vitae Education CV attached? Yes No Postgraduate qualifications MSc/MBA/PhD/Other  

Postgraduate qualifications

MSc/MBA/PhD/Other

   

Dates

 

From

To

Title/subject of course/thesis

       

Name of university/college

     

First degree (if applicable)

 

Name of university/ college

Name of course

Main subjects with examination results or grades to date

Dates

From

To

Grade

 

Graduation date

 

Secondary Education

Name of school/college

Subjects studied and level (eg GCSE/A/AS/Highers/IB etc) Give examination results with grades and year

 

Dates

 

From

To

Awards

Details of any awards/scholarships/prizes won at school/university including any sponsorship on degree course

school/university including any sponsorship on degree course Additional skills/qualifications and achievements Any other

Additional skills/qualifications and achievements

Any other qualifications/computing skills/language ability (please indicate proficiency)

skills/language ability (please indicate proficiency) Employment history (Emphasis on last 10 years, starting

Employment history (Emphasis on last 10 years, starting with most recent)

Dates

Employer’s name, address and type of business

Position held (with brief description of duties)

Basic salary (also show any other benefits)

From

To

International experience Please list any countries in which you have lived or worked and provide details

in which you have lived or worked and provide details Other information Please add any further

Other information Please add any further information relevant to your application including notes on your specialist interests

application including notes on your specialist interests Why are you interested in joining PT Mott MacDonald?

Why are you interested in joining PT Mott MacDonald?

Why are you interested in joining PT Mott MacDonald? Please give the names who recommend you

Please give the names who recommend you to apply to PT Mott MacDonald

Give the names of PT Mott MacDonald Indonesia staff who recognise you

names of PT Mott MacDonald Indonesia staff who recognise you You are advised that by signing
names of PT Mott MacDonald Indonesia staff who recognise you You are advised that by signing

You are advised that by signing this document, you confirm, to the best of your knowledge and belief, the information provided is true and correct.

If we find that one of the information is untrue or incorrect, you consent to accept any consequences taking by the Company.

While you are under no obligation to do so, please help us by completing the insert in this document

Signed: Date: For Mott MacDonald Use only Date of Interviewed Appointment Yes No Interview by
Signed:
Date:
For Mott MacDonald Use only
Date of
Interviewed
Appointment
Yes
No
Interview
by (first)
Recommended?
Comments/Notes (continue on a separate sheet if necessary)
Date of
Interviewed
Appointment
Yes
No
Interview
by (second)
Recommended?
Comments/Notes (continue on a separate sheet if necessary)
Offer
Job Position
Salary
Grade
Date
Location
MU/DIV/SUB-DIV
Available

Reporting to (Name)

Any special conditions

MU/DIV/SUB-DIV Available Reporting to (Name) Any special conditions Functional Title of Contractual Supervisor 4

Functional Title of Contractual Supervisor

MU/DIV/SUB-DIV Available Reporting to (Name) Any special conditions Functional Title of Contractual Supervisor 4
MU/DIV/SUB-DIV Available Reporting to (Name) Any special conditions Functional Title of Contractual Supervisor 4

Equal opportunities monitoring

We monitor applications to ensure that our recruitment procedures do not lead to discrimination. The information you supply here will remain confidential. It will be detached from the main form and will not be used by, or be available for use by, anybody involved in selection decisions.

Notwithstanding the above we try to keep details of employees' ethnicity, disabilities, religion or religious beliefs and sexual orientation on our Human Resources database for monitoring purposes. If you are successful in securing a position with Mott MacDonald we would like to include the following information in your records. If you are in agreement with this, please also complete your name and date of birth in the section at the bottom of this page and sign the document.

You are under no obligation whatsoever to supply these details and your application will be completely unaffected by their absence.

Position applied for

Gender

Male

by their absence. Position applied for Gender Male Sexual Orientation Female Following Employment Equality

Sexual Orientation

absence. Position applied for Gender Male Sexual Orientation Female Following Employment Equality (Sexual Orientation)

Female

Position applied for Gender Male Sexual Orientation Female Following Employment Equality (Sexual Orientation)

Following Employment Equality (Sexual Orientation) Regulations 2003, please use this section to indicate your sexual orientation.

Heterosexual 1

Heterosexual 1 Gay 3

Gay 3

Lesbian 2

Bisexual 4

Ethnic origin

Gay 3 Lesbian 2 Bisexual 4 Ethnic origin Please use this section of the form to

Please use this section of the form to indicate the ethnic group to which you belong or from which you are descended. The ethnic origin categories are those specified by the UK’s Commission for Racial Equality and used in the Office of Population Census and Surveys.

Black African 1

Black African 1 Black other 3 (Specify) Indian 5 White 7 Bangladeshi 9

Black other 3 (Specify)

Black African 1 Black other 3 (Specify) Indian 5 White 7 Bangladeshi 9

Indian 5

Black African 1 Black other 3 (Specify) Indian 5 White 7 Bangladeshi 9

White 7

Black African 1 Black other 3 (Specify) Indian 5 White 7 Bangladeshi 9

Bangladeshi 9

Black Caribbean 2

Chinese 4

Pakistani 6

Irish 8

Other (Specify) 10

Religion or religious belief

8 Other (Specify) 1 0 Religion or religious belief Please use this section of the form

Please use this section of the form to indicate the religious group to which you belong. The religion and religious belief categories are those specified by ACAS under the Employment Equality (Religion or Belief) Regulations 2003.

Baha’i 1

Baha’i 1 Hinduism 4 Judaism 7 Sikhism 1 0

Hinduism 4

Baha’i 1 Hinduism 4 Judaism 7 Sikhism 1 0

Judaism 7

Baha’i 1 Hinduism 4 Judaism 7 Sikhism 1 0

Sikhism 10

Buddhism 2

Islam 5

Parsi 8

No religion 11

Christianity 3

Jainism 6

Rastafarianism 9

Other (please specify) 12

Disability

9 Other (please specify) 1 2 Disability If you have a disability, please provide details below.

If you have a disability, please provide details below. The Human Resources department will be pleased to discuss with you any special arrangements you may require during your employment.

special arrangements you may require during your employment. Applicant details - the completion of this section

Applicant details - the completion of this section is entirely voluntary

Surname

First name(s)

of this section is entirely voluntary Surname First name(s) Title Date of birth Thank you for
of this section is entirely voluntary Surname First name(s) Title Date of birth Thank you for

Title

Date of birth

Thank you for completing this form.

of this section is entirely voluntary Surname First name(s) Title Date of birth Thank you for
of this section is entirely voluntary Surname First name(s) Title Date of birth Thank you for