Previous Employment

All previous employment in the last 10 years must be declared, including unemployment, service in the armed forces and any work abroad (please give addresses) Please continue on a separate sheet if necessary Employer Business Name Street Address District/Town City/County Postcode Job Title Main duties/ achievements Salary Other benefits Starting Date Reason for Leaving End Date Telephone

Driving Details
(To be completed by all driving licence holders regardless of position applied for) Do you have a driving licence? Yes No

Driving Experience
Driver No. Type: Full/Provisional How long held:

DRIVING LICENCE SERIAL No. (vertical, right hand side of licence or horizontal, top and bottom of licence dependent on type of licence held). (Photocard Licence - top right and bottom left of counterpart driving licence (D740). LGV Licence No. Class: (Please note all classes on licence) How long held: Expiry Date:

Give details of any Motor Transport Offences including any pending:

Has your Licence ever been suspended/endorsed? If YES, give details.

Details of Motor Accidents during last three years: Date Place

Description

DRIVING EXPERIENCE: Please indicate type of vehicles driven and how long you have been driving in each class Length of time driving Class Type of Vehicle

I hereby confirm that the statements made by myself within this document are true and accurate. If any of the statements are untrue or misleading, I understand my employment may be terminated. I also understand that in applying to DPD for employment, I hereby give DPD permission to approach all previous employers and Government Departments to establish and verify my employment credentials and to the DVLA to release limited details of all current and past licences held by me.

DATE:

SIGNATURE OF APPLICANT:

Data Protection Act 1998. All details provided within this application form will be retained by DPD for the sole purpose of the recruitment exercise for which you have applied. If you are not successful, they will be retained for a period of six months and then destroyed. Information provided will not be used for any other purpose.

Thank you for completing this form - we wish you well with your application. INTERVIEWERS SIGNATURE: DATE:

DPD Application for Recruitment

About the role

Position Applied for Job Location If this vacancy is located away from your current home address, please indicate whether you are willing to relocate. (Please 3) How did you hear about the vacancy? (Please 3) Please give details Job Centre Yes Job Advertisement Not Relevant Other

Contact Details
Title First Names Telephone: Home email address Mobile: Surname

Current Residence
Street Address District/Town City/County Postcode Country No. of years at this address
Please add all your previous addresses if less than 10 years at your current residence

Previous Residences
Street Address District/Town City/County Country Please enter dates as a year followed by a month i.e. 2000, May

Postcode

From
Please continue on a separate sheet if necessary

To

Personal Information
Do you have a National Insurance number? Do you need a work permit? No Yes No Yes Please enter Do you have a work permit? No Yes

Disability
Do you have or have you had a disability? Please give details
A division of GeoPost UK Limited

Yes

No

GeoPost UK Ltd, Registered office: PO Box 6979, Roebuck Lane, Smethwick, West Midlands B66 1BN www.geopostuk.com DPD338 (07/07) Registered in England and Wales No. 732993

Your Schools
Please add all schools you have attended School Name Start Date Exam Results
Please state the exam type (e.g. GCSE), subject Please continue on a separate sheet if necessary

End Date

Your Colleges
Please add all colleges/universities you have attended College Start Date Exam Results End Date

College Start Date Exam Results End Date

Other Qualifications
Details of any other qualifications/training

Professional Memberships
Membership of professional institution/union membership

Absence
Number of days absent due to sickness in your last 12 months work

Friends at DPD
Name any friends or relatives employed by this company (separate
multiple names by commas)

Attachment of Earnings
Have you any attachment of earnings (eg. A court order for maintenance payments) Yes No

Criminal Convictions
The offence of deliberately falsifying an application form is considered to be an attempt to gain pecuniary advantage as per section 16 (I) of the theft act 1968; which relates to any attempt to gain service by deception. the gaining of employment is classed as service under the above section and may lead to prosecution.

Subject to the Rehabilitation of Offenders Do you have any convictions? Do you have any Police cautions? Do you have any cases pending?

Act 1974:Yes No No Yes No Yes

ANY OFFER OF EMPLOYMENT IS SUBJECT TO YOU SUPPLYING A BASIC DISCLOSURE CERTIFICATE

Supporting Statements
Why do you want to work for DPD?

What attracts you to this role?

What skill and attributes do you feel you would bring to the company?

Other Details
Please supply any other details you may wish to add including details of hobbies or interests

Personal Reference
Name Street Address District/Town City/County Postcode How long have you known this person

Current Employment
Are you currently employed? Employer Business Name Street Address District/Town City/County Postcode Job Title Main duties/ achievements Telephone Yes No

Salary Other benefits Starting Date Reason for Leaving End Date

Other Employment
If you are selected for a role at DPD would it be your intention to continue working for another organisation? Yes No