For Office Use Only Name: Activation ID: Date of Registration: Clients applied to: Level of vetting required:

Proposed start date: Branch Name: Branch Number: Consultant:

Application For Temporary Employment Please do not leave any question blank. If necessary write 'N/A'. If you omit any information or provide misleading information your application will be delayed and possibly rejected.

Section 1: Your Personal Details

Title: Forename(s): Middle name(s): Surname: Have you ever changed your name? Previous name: Date of name change:
YES NO Mr Mrs Ms Miss Other (please state)

Otherwise known as:

DD

MM

YY

Reason for name change:

If you have changed your name more than once, please provide more details in Section : Additional Information
National Insurance number: Are you eligible to work in the UK? YES NO

Please state how many days absence from work you have had in the last 12 months and the reasons why.

Your Contact Details: Home number

Mobile number

Email

Date of Birth

Town Of Birth

Mothers MaidenName

Emergency Contact Details: Name

Relationship to you

Home number

Mobile number

Created:14/04/ 2010 Responsibility: Audit & Compliance Team

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Section 2: Your Bank Details

Which account would you like to be paid into?
Bank/Building Society Name: Name of Account Holder: Account number: Branch Sort code:

Section 3: Your 5 Year Address History

Please provide details of ALL addresses you have lived at in the past 5 years this MUST include all addresses you lived at whilst you were at university (if applicable). Please give as much detail as you can e.g. house/flat number and postcode.

Current address:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Previous address 1:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Date of exit from this address:

DD

MM

YY

Previous address 2:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Date of exit from this address:

DD

MM

YY

Created: 14/04/ 2010 Responsibility: Audit & Compliance Team

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Previous address 3:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Date of exit from this address:

DD

MM

YY

Previous address 4:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Date of exit from this address:

DD

MM

YY

Previous address 5:
House name or number: Building name (if applicable): Street/road: Town/city: Postcode: Date of entry to this address: Permanent address: University address: Other:

DD

MM

YY

Date of exit from this address:

DD

MM

YY

Please read each statement carefully and initial to confirm you understand and agree:

Address history/credit searches

I give my permission for Reed, or third parties acting on their behalf, to carry out searches of my address history (provided in Section 3) with credit reference agencies and fraud prevention agencies I understand that such searches may link me to addresses that I have not declared, and I consent to these addresses also being checked I give my permission for Reed, or third parties acting on their behalf, to carry out identity check searches with credit reference agencies and fraud prevention agencies I understand that these searches are completed to satisfy the screening requirements of a client(s) for whom I have applied to work, and that the results of these searches may be disclosed to the client(s) Created: 14/04/ 2010 Responsibility: Audit & Compliance Team

Initial

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I understand that the results of these searches (including, but not limited to, details from and about the Electoral Roll, County Court Judgments, Scottish Debt Register and bankruptcies) will be used to make a recruitment decision

Section 4: Personal Referee

Please give details of someone who would be happy to provide you with a personal reference This person must not be a relative You must have known them for 5 years or more They should be a professional person but you must know them in a personal capacity (for example, if they are a doctor they must be a friend not your GP) They cannot be a former employer, manager or teacher
Full name and title: Telephone number: Fax number: Address line 1: Address line 2: Town/city: Postcode: How long have you known this person?
Years Months

e.g. Ms Erica Smith

Area Code:

Area Code:

What is their occupation?

Section 5: Criminal Convictions and Criminal Record Check

Some of Reed's clients will require you to apply for a Criminal Record Check from either Disclosure Scotland or the Criminal Records Bureau (CRB). Applicants are therefore required to give information about convictions, cautions, reprimands, warnings and any criminal record information. Any information given will be completely confidential and will be considered only in relation for positions to which the order applies. Have you any unspent convictions for any offences? Do you currently have any pending criminal charges against you? If you have answered 'Yes' please give more details in Section 7 YES YES NO NO

Section 6: 5 Year Work History

Are you currently under disciplinary investigation, or, have you been subject to a disciplinary matter in the last 2 years? Have you been dismissed from any previous employment? Has a regulatory authority, such as the Financial Services Authority, ever investigated you, or are you currently under investigation? YES YES YES NO NO NO

Any information given will be completely confidential and will be considered only in relation for positions to which the order applies. If you have answered 'Yes' please give more details in Section 7

Created: 14/04/ 2010 Responsibility: Audit & Compliance Team

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Application for Temporary Employment

I confirm that the information I have given in this Application Form is true and correct to the best of my knowledge. I understand that the subsequent discovery of any false or misleading information may lead to the withdrawal of any offer of employment; or, if so established after commencement of an assignment, termination of that assignment. I understand that to attempt to gain employment by deception is a criminal offence. I understand and agree that Reed may pass information contained within and resulting from my application to the client or its subsidiary companies or their appointed agents. This information may be used for the purpose of processing my application, ongoing personnel administration, additional screening, inspecting/auditing files and other lawful purposes in accordance with the Data Protection Act 1998. It is a condition of proceeding with your application that we may request for you to apply for a Disclosure Scotland (DS). Convictions and any other criminal record information obtained through the Disclosure service will not necessarily be a bar to employment. All circumstances will be taken into account. However, any inconsistencies compared with the information given above may invalidate your application. It is a condition of engagement that clients will be informed of details of criminal convictions so that they may make an informed decision as to whether or not to engage a candidate on a temporary assignment. I confirm that I have read and understood the above information relating to the Rehabilitation of Offenders Act.

Section 7: Additional Information

Please provide below any background or additional information you feel is relevant. Use this page for details for which there is no space elsewhere on the form. Please ask for an additional sheet if necessary.

Created: 14/04/ 2010 Responsibility: Audit & Compliance Team

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Full Name: Signature: Date: / /

REED SPECIALIST RECRUITMENT LIMITED (REED) CANDIDATE PERSONAL DATA STATEMENT

I confirm that all the information I have given is correct. I understand and agree that for as long as reasonably necessary for the purposes of providing me with temporary work and/or employment opportunities and/or training and/or for other lawful purposes related to Reeds recruitment services both in paper files and on Reeds computer system: Reed may obtain, keep, use, produce and disclose records containing personal data about me. Reed may use my personal data to conduct checks and check references and may forward my personal data to other persons for these purposes. Reed will request references from my work and/or personal referees and in certain circumstances, with my additional written consent, will obtain a credit reference from a credit reference agency and/or a Disclosure from the Criminal Records Bureau. Reed will not request a reference from my current employer without my consent. Reed may pass my personal data to other persons for the purpose of providing me with benefits and other HR services. Reed may pass my personal data to other companies within the Reed Group*. Other companies within the Reed Group may retain and disclose my personal data.

I further understand and agree that Reed may, to the extent that it is reasonably necessary in connection with Reeds recruitment services, obtain, keep, use, produce and transfer to other persons including other companies within the Reed Group, relevant sensitive personal data** about me for the following purposes: Equal opportunities monitoring and anti-discrimination purposes; In connection with Reeds sick pay scheme; Health and safety at work; For administrative purposes and for complying with Reeds statutory obligations

I understand and agree that Reed may pass information contained within and resulting from my application (including references and credit checks received and all forms completed by me, but excluding a disclosure from the criminal records bureau) to organisations (including their employees and agents) who employ or engage me directly or through Reed. This information may be used by such organisations for the purpose of processing my application, ongoing personnel administration, additional screening, inspecting Reeds files and other lawful purposes. I hereby consent to Reed passing such information and a copy of my application (together with any related documentation) to such organisations and for this information to be used and retained by them for the above purposes. I agree that Reed and other companies within the Reed Group may contact me by telephone, email, SMS/text message, post or any other appropriate form of communication for the purposes set out in this agreement. I acknowledge that without my consent to process my personal data in this manner Reed are unable to assist me in my search for work. I hereby confirm that my personal data may be held and disclosed by Reed for the purposes and in the manner set out above. Name: Date: Signed:

* The Reed Group includes Reed Executive Limited, James Reed & Partners Ltd, Reed Online Ltd, Reed in Partnership Limited, Reed Learning Limited and their subsidiary companies. A full list can be obtained from your local Reed branch. ** Relevant sensitive personal data is personal data consisting of information as to a persons: racial or ethnic origin; religious beliefs or other beliefs of a similar nature; membership of a trade union; physical or mental health or condition; commission or alleged commission of any offence; or any proceedings for any offence committed or alleged to have been committed, the disposal of such proceedings or the sentence of any court in such proceedings.

Created: 14/04/ 2010 Responsibility: Audit & Compliance Team

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