Application Form – Secure Guards Security Services

Application Form

1

Personal Information

First Name

Last Name

Sex Male

Marital Status

Date of Birth

Phone/Mobile

National Insurance Number

2

Address Information

Address Line 1

Address Line 2

City

State

Postal Code

Country

Dates lived at current address

Date From:

Date To:

Town & Country of Birth

Please tick box for present state

House/flat owner

Renting

With Parents

Lodging

3

SIA Licence Type & Number: (Security Industry Authority)

Licence Number

Start Date

End Date

SIA Frontside Image

Choose File

SIA Backside Image

Choose File

4

Bank Detail

Bank Name

Account Number

Sort Code

Name

5

Driving Licence

DRIVING LICENCE

Yes

Do you own a motor vehicle?

Yes

6

Financial Liabilities

Have you ever been declared bankrupt / insolvent?

Yes

Has a county court judgment ever been awarded against you?

Yes

7

PERSON TO BE CONTACTED IN ANY EMERGENCY / NEXT OF KIN

Name

Relationship

Phone/Mobile

8

Service Record

Regiment or Unit

Start Date

End Date

Are you liable for a recall?

Yes

Conduct Record

9

Education

10

EMPLOYMENT HISTORY

11

PERSONAL REFERENCES

Please give details of 2 people other than family who have known you well for a minimum of 5 years, who we may approach for references:

Reference 1

Name

Occupation:

Address

Phone/Mobile

Refer to application form

From

To:

Reference 2

Name

Occupation:

Address

Phone/Mobile

Refer to application form

From

To:

As part of the security screening procedure in compliance with BS7858 and BS7960: we require the following:

(i) Proof of Identification X 2: Passport, Driving Licence, Birth Certificate

(ii) Proof of Residency X2: Utilities Bill (gas, electric, telephone) or Bank Statement (Not older than 3 months)

If the documents listed above are not provided, Secure Guards Security Services Ltd. cannot proceed with processing your application for providing security services.

Passport, Driving Licence, Birth Certificate

Choose File

Bill (gas, electric, telephone) or Bank Statement (Not older than 3 months)

Choose File

12

STATEMENT TO BE SIGNED BY THE APPLICANT

Full Name

I declare that to the best of my knowledge,That the information I have given on this application form is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, my services may be refused and be liable for prosecution. I am aware that by signing this document I am bound by the code of confidentiality, this includes but is not limited to information regarding employees, customers and all other information regarding the company.

I authorise the Company to approach any Government Agencies, former employers and personal referees to verify the information given, and will supply a statutory Declaration if required.

I also confirm I am/will be registered for self employment and will receive my Gross Income from Secure Guards Security Services Ltd.

Signature

Date / Time

Online Application Form

Secure Guard Security Services LTD APPLICATION FOR PROVIDING SECURITY SERVICES

1

Personal Information

2

Address Information

Dates lived at current address

3

SIA Licence Type & Number: (Security Industry Authority)

4

Bank Detail

5

Driving Licence

6

Financial Liabilities

7

PERSON TO BE CONTACTED IN ANY EMERGENCY / NEXT OF KIN

8

Service Record

9

Education

10

EMPLOYMENT HISTORY

11

PERSONAL REFERENCES

Reference 1

Reference 2

12

STATEMENT TO BE SIGNED BY THE APPLICANT

Company

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