Personal Information
Date of Application
MM
/
DD
/
YYYY
Full Name *
Email *
Age
Nationality
Gender
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# of Children
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Street Address
Telephone (Work)
P.O. Box
Telephone (Home)
Telephone (Cell)
Married / Single / Divorce
National Insurance #
*Please note that no application will be considered without your National Insurance number
Do you have any serious illness(es) that will prevent you from attending work on a regular basis?
Position Applied For
Full Time / Part Time
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Were you interviewed before? (YES/NO)
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If yes, what was the status of your application?
How did you hear of a vacancy at Super Value Food Stores Limited?
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Current employee
Relationship
Are you presently employed?
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May we contact your employer?
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If called for an interview, when you be able to start?
If offered employment when would you be able to start?
Name of bank you do business with?
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