MKB Law Monitoring Form
We are an equal opportunity employer. We do not discriminate on grounds of religious belief or political opinion. We practice equality of opportunity in employment and select the best person for the job.

To demonstrate our commitment to equality of opportunity in employment we need to monitor the community background of our employees, as required by the Fair Employment Agency Act 1989.

Regardless of whether we practice our religion, most of us in Northern Ireland are seen as either Roman Catholic or Protestant. We are therefore asking you to indicate your community background by ticking the appropriate box below.
1/Please indicate your community background *
2/Please indicate whether you are *
3/Please state your racial or ethnic origin *
For example... Bangladeshi, Black African, Black Caribbean, Black-other, Chinese, Indian, Irish Traveller, Mixed Origin, Pakistani, White, Other (please specify).
Declaration
If you do not complete this questionnaire, we are encouraged to use the “residuary” method which means that we can make a determination on the basis of personal information on file.

Note. It is not compulsory for you to answer the above questions. However we would stress that it is a criminal offence under the legislation for a person to “give false information in connection with the preparation of a monitoring return”.

I therefore confirm that to the best of my knowledge the information I have given is correct.
Name *
Date *
MM
/
DD
/
YYYY
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