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Full -Application -Form

 Self

Surname
Maiden Name
Forenames
Address 1
Address 2
Town/City
County
Post Code
Tel. No. Home
Tel. No. Work
E-mail Address
Date of Birth
Place of Birth
N.I. No.
Marital Status
No. of Children Living with you?

Ages of Children
Do you suffer from any disabilities? Yes  No
Details of disabilities (if applicable)
Do you have your own transport?

Yes  No

Do you hold a full driving licence?

Yes  No

Nationality
 

Career History

Partner

Yes  No

Yes  No

Yes  No
From To Name & Address of Employer

 

References

Please give the name and address of two referees.

Qualifications (including trade related)

Have you or your partner, any outstanding CCJ's?

Yes  No

Our management contract requires a minimum securing bond payment. Please state your amount of available cash

£

Have you or your partner ever held a licence to sell liquor? Please give details.


Have you or your partner, ever been convicted of a criminal offence? Previous convictions (even if spent) do not necessarily debar you from holding a licence. However failure to disclose any relevant information almost certainly will.
Yes  No          Details:

 

What qualities do you possess which would make you successful in this trade?

Where did you find out about Pub People?

State in which area of the country you would prefer to work.

What notice period do you have to give your present employer?

To the best of my knowledge the information given in this form is accurate. We/I understand that if we/I are offered and accept an offer of a licensee position this will be subject to satisfactory references to cover our/my last 3 years of employment and successful license application.