Tel No. 01733 650 151 Email: info@[Link] [Link].

com

1. Registration Form
(Private and confidential once completed)
PAYE
Position Applied For: Limited

Title: First Name: Middle Name(s):

Surname: Maiden Names:

(Previous Surname)
Marital Status: Single Married Divorced Widowed
Current Address:

City / Town: Postcode:

Address from (Month & Year): Address to (Month & Year):

Email Address:

Previous Address: (If less than 5 years at current

address)

Address from (Month & Year): Address to (Month & Year):

Phone (Mobile) Phone (Home)

Date of Birth: National Insurance Number:

Are you subject to Immigration Control? YES □ NO □

If yes, do you have an unrestricted entitlement to take YES □ NO □

up employment in the UK?
Date of Entry into EU/UK (if applicable)

Work Permit/Visa Number: Expiry Date:

2. SIA Licence
Do you hold an SIA Licence? YES □ NO □

(Tick all that apply): Security Guarding □ Door Supervisor □ CCTV □ Other □ (state)

SIA Licence Number: Expiry Date:

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 3. Driving Licence
Do you hold a current valid UK Driving Licence? YES □ NO □

Tick all that apply: Full □ Provisional □ Manual □ Automatic □ HGV □ Motorcycle □ PSV □
If OTHER, please state:
Please give details of any endorsements and/or driving convictions and dates within the past five years:

Do you have transport? YES □ NO □

Tick all that apply: Car □ Motorcycle □ Bicycle □ Other □

If OTHER, please state:

4. Offences, Cautions and Convictions

Enter details for either in the UK or any other Country for criminal or motoring offences

Have you ever been cautioned by the Police? YES □ NO □

Have you ever been convicted, fined or had any order

made against you by a Criminal, Civil or Military YES □ NO □
Court or Public Authority?
Are you aware of any Police investigations in which YES □ NO □
you may be involved?
If you answer YES to any of the above, please give details of offence and dates:

NB: Disclosure is not required where there is a conviction to which the provisions of the Rehabilitation of
Offenders Act 1974 applies. Failure to disclose an unspent conviction may result in summary dismissal. If
you are unclear about any of these questions, ask the interviewer.

5. Financial Liabilities
Have you any outstanding debts or attachments of YES □ NO □
earnings?
Have you ever had any proceedings against you either
in a Civil or Criminal Court, including motoring YES □ NO □
Offences?
Have you ever been declared bankrupt / insolvent? YES □ NO □

Have you any Court Judgements against you, whether YES □ NO □

satisfied or not?
If you answer YES to any of the above, please give details:

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 6. Employment History

Please give details of your employment over the last 5 years commencing with your most recent job and
including any agencies worked for. Where applicable, please explain any breaks in employment history.

May we approach your current employer for a reference before your notice period? YES □ NO □

Date From Date To Name & Address of Employer Position Held Reason for Leaving
(MM/YY) (MM/YY)

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 7. Military Service
Please give details of all periods of service in the Forces (Regular or Reserve), full time Civil Defence etc.,
that you have undertaken within the past five years. If not applicable, please strike through.
Description of Service (RN, Army, RAF, MN, TA, RM)
Regiment, Branch or Division
Date of Joining: Date of Discharge/Retirement:
Rank: Personal / Regimental No.
Decorations & Medals: Conduct/Character on leaving:

8. Self-Employment

Please give title, nature and address of your business. If not applicable, please strike through.

Name and Registered Address of business:

Nature of business:
Date of business: From: To:
Companies House Reg. No.

9. Professional References
Please give details of trade/business references i.e., employment companies with whom you traded and/or
persons who can confirm details of your business activities e.g. your Accountant, Solicitor or Bookkeeper
acting on your behalf during the course of the business. If not applicable, please strike through. Or your last
two employers.
Name: Name:

Position held by Referee: Position held by Referee:

Company’s Name: Company’s Name:

Company’s Address: Company’s Address:

Work Telephone: Work Telephone:

Work Email: Work Email:

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 10. Personal References
Please give the name and full address of ONE person who is NOT a relative (by blood or by marriage),
former employer and/or persons residing at the same address as yourself, who has known you well for at
least the past two years, is still in contact with you and who will be prepared to give a personal reference.
Name: Name:

Position held by Referee: Position held by Referee:

Company’s Name: Company’s Name:

Company’s Address: Company’s Address:

Work Telephone: Work Telephone:

Work Email: Work Email:

I hereby give KANDO Security permission to approach my referees at this stage for employment references
and understand that KANDO Security reserve the right to withdraw my application if my references do not
meet a satisfactory level of security staffing.

Yes No

11. Data Protection Statement

The information that you provide on this form and on any CV, give will be used by KANDO Security to
provide you work finding services. In providing this service to you, you consent to your personal data being
included on a computerised database and consent to us transferring your personal details to our clients. We
may check the information collects, with third parties or with other information held by us. We may also use
or pass information to certain third parties to prevent or detect crime, to protect.

Signature: ____________________________________________ Date: __________________________

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 12. Confidentiality Agreement
During your employment, you may have access to see or hear information of a confidential nature. You are
required not to disclose any information, particularly related to client/security guard details, medical notes etc.
to any unauthorised disciplinary action or dismissal.

Signature: ___________________________________________ Date: __________________________

13. Third Party Declaration

I hereby allow any information relating to my registration with KANDO Security limited to be shared with
relevant third parties. This will be overseen by the governance lead for KANDO Security limited.

Signature: ___________________________________________ Date: __________________________

14. Working Times Regulations

The Working Times Regulations 1998 (“The Regulations”) require KANDO Security Limited (“The
Company”) to limit your average weekly working time to 48 hours unless you agree with The Company that
the limit shall not apply to you. The Company wished to have an agreement with you. It proposes an
agreement (which will apply until terminated by notice) on the basis that:
1. The 48-hour limit on average weekly time will not apply to you.
2. You may terminate the agreement (so that the 48-hour time limit would apply to you) by giving the
person at the Company to whom you usually report 4 weeks’ written notice. Under the Regulations, the
Company must keep records relating to your working time. This is the case where or not you reach an
agreement with the Company’s proposals, please sign below. This document will then be record of
Agreement.

Signature: ____________________________________________ Date: __________________________

15. Revalidation Declaration

I hereby declare that I have read through the KANDO Security Limited revalidation guidance notes. Any
breach of obligation may result in disciplinary action or dismissal.

Signature: ___________________________________________ Date: __________________________

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD
 16. Screening
Any offer of employment is subject to satisfactory screening, that the applicant consents to being screened and
will provide information as required, that the information provided is correct and the applicant acknowledges
that any false statements or omissions could lead to termination of employment.

Name: ___________________________________________

Signature: ___________________________________________ Date: __________________________

17. Disclosure
You are applying for a position of trust and in the event of being offered employment by the Company we will
apply for a Disclosure. However, having a criminal record does not necessarily bar you from employment.
Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a
recruitment decision. By signing this document, you allow the Company to see a copy of the Disclosure.

Signature: ___________________________________________ Date: __________________________

18. Declaration
I, the undersigned applicant, hereby declare that the information I have given in this application from is true to
the best of my knowledge and belief. I consent to my person data and CV being forwarded to clients. I consent
to references being passed onto potential employers. I agree that if I have given any false or misleading
information, or do not give relevant information now or in the future, this may result in termination of an
assignment without notice. If, during the course of a temporary assignment, the Client wishes to employ me
direct, I acknowledge that KANDO Security will be entitled either to charge the client an introduction/transfer
fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client
without further charge being applicable to the Client).

Name: ______________________________________________________________________________

Signature: ______________________________________________ Date: _____________________

19. List of Requirements

☐ Valid SIA licence
☐ 2 proofs of address dated within the last 6 months (utility bills, bank statements, Inland Revenue
documents and driving licence. Mobile phone bills are not accepted.
☐ Your 5-year employment history (with dates AND months)
☐ DBS Application form and payment of £40.00 – (Online Application + Card Payment) if you are
registered on the new update service, please bring along your DBS certificate so we can photocopy and
do an online check on you.
☐ Proof of your National Insurance number, please note this must be in the form of your NI card, P45,
P60 or other Department of Work and Pensions document.
☐ Passport photograph
☐ Valid Passport /ID Card / Visa if applicable
☐ Driving license if applicable
☐ P45 form or a P45
☐ Bank details (Welcome letter from bank/Limited Company Certificate & Company account details &
Memorandum of Association (LTD’s Only))

Suite 241 East Wing, Stuart House, St. John’s Street, Peterborough. PE1 5DD