Corporate Governance

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Online Registration Form

Please take the time to carefully fill out our online registration form. Upload relevant documents using the attach buttons where appropriate. We look forward to welcoming you on board!

Personal Details

First Name:
Title: Dr. Mr. Mrs. Miss. Ms. Nationality:
Visa/Work Permit Status: Visa Expiry Date ( if applicable ):
National Insurance Number:
Address:
Town: Post Code:
Home Phone Number: Mobile Phone Number:
Email Address( private/work ):
Professional Qualification:
Qualification Registration Number:
Attach your CV here:
Attach a scan of your passport here:

Emergency Contact Details:(please give the name and telephone number of the person to contact on your behalf in an emergency)

Contact Name:
Contact Numbers:

Work Type and Pay Details

Notice Period/Availabilty: Minimum Salary/Pay Rate:
Type of Role Sought:
Language Skills:

Criminal Convictions

It is the responsibility of the applicant to inform Alexander Daniels Limited when a previously declared conviction becomes spent.

The Rehabilitation of Offenders Act 1974 (‘the Act’) states that you are not obliged to describe / disclose details of convictions which are considered to be spent under the terms of the act.

Have you been convicted of any criminal offence(s) which is not yet ‘spent’ under ‘the act’ or are you facing any criminal prosecution? (please do not include fixed penalty driving offences)

Yes No
The nature of offence:
The sentence of Court Order:
The date of the conviction:
The details of the prosecution:

Referees(please supply names, addresses and telephones numbers of two referees, which should be last two employers).

CONTACT WILL NOT BE MADE WITHOUT PRIOR PERMISSION.

Reference 1:
Reference 2:
Contact Name: Contact Name:
Position: Position:
Company Name Company Name
Address Address
Post Code Post Code
Employement Dates: Employement Dates:
Position Held: Position Held:
Tel No: Tel No:
Email: Email:

Financial Information

Have you ever been declared bankrupt or had civil proceedings taken against you by creditors Yes No (If yes, please give full details, including County Court Judgements, Individual Voluntary Arrangements (IVA) Yes No

Please read our terms and conditions here.

I have read and understood Alexander Daniels' terms and conditions

In order to prove that you are human and not a spamming program, please slide the button from left to right. You can then register.

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Privacy Statement: Your personal data will be processed in accordance with the Data Protection Act 1998 and our Privacy Policy . Full details of our Privacy Policy can be accessed here.

Fraud: If you provide us with false information in your search for work and thereby obtain employment and payment you may be liable to prosecution under Fraud Act 2006.

Complaints: If you have a complaint about the service you have received from Alexander Daniels Limited please do not hesitate to contact us