PERSONAL INFORMATION
SURNAME:
TITLE: MR. FORENAME(S): keval
Sidhdhapara
HAVE YOU PREVIOUSLY BEEN KNOWN BY ANY OTHER NAME?: no
DATE OF BIRTH: 19/12/1994 NATIONALITY: indian
WORK PERMIT REQUIRED: Yes ✘ No
NATIONAL INSURANCE NO: TL633111D TAX REF. NO.:
DRIVING LICENCE: Yes No Provisional
✘
CAR OWNER: Yes No ✘
HOME ADDRESS: 64a,Station road, north harrow - London
POSTCODE: HA27sj
HOME TEL. NO.: MOBILE NO: 07833814936
EMAIL:
[email protected]CURRENT ROLE INFORMATION
CURRENT EMPLOYER: Caffe concerto
CURRENT JOB TITLE: chef CURRENT SALARY: 22000
HOLIDAY ENTITLEMENT: NOTICE PERIOD: 2 weeks
IF ‘OTHER’ PLEASE SPECIFY NOTICE PERIOD / AVAILABILITY:
REASON FOR LEAVING:
I have completed my study so now I wanna join the industry
BENEFITS (PLEASE SELECT ALL THAT APPLY):
Healthcare Car Parking ✘ Pension (Non Con) Pension (Con) Bonus (Disc) ✘
OTHER (PLEASE SPECIFY):
PLEASE STATE DETAILS OF SICKNESS OR ABSENCE FROM WORK OR EDUCATION
IN THE LAST 2 YEARS:
None
NUMBER OF ABSENCES 0 NUMBER OF DAYS OFF SICK 0
NEW ROLE REQUIREMENTS
TYPE OF ROLE: Permanent ✘ Temporary ✘
HOURS: Full-time ✘ Part-time ✘
Both ✘
TYPE OF ROLE: data anaylist
INDUSTRY PREFERRED: IT
ANY COMPANIES/SECTORS YOU WISH TO AVOID: none
MIN. SALARY REQUIRED: 23000
PREFERRED LOCATION (PLEASE SELECT)
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Douglas ✘ Castletown ✘ Ramsey ✘ Peel ✘ Other ✘
EMPLOYMENT
If you answer ‘Yes’ to any of the following questions, please provide further
details on the
Additional Information page.
Have you ever failed to complete a probationary period? Yes No ✘
Have you ever been the subject of a disciplinary investigation or Yes No ✘
disciplinary action by a previous employer?
Have you ever been dismissed by a previous employer? Yes No ✘
Have you ever been barred from entry to, or disciplined by, any Yes No ✘
professional body or occupation?
Have you held a “Key Persons” role within an organisation and been Yes No ✘
approved by the Isle of Man Financial Services Authority?
LEGAL & FINANCIAL
If you answer ‘Yes’ to any of the following questions, please provide further
details on the
Additional Information page.
Do you have any convictions for criminal offences (excluding minor Yes No ✘
traffic offences), whether or not in the UK, which have not expired
(or are not “spent” as defined in the Rehabilitation of Offenders Act
2001) or are you currently engaged in or subject to, any criminal
proceedings?
Has any judgement ever been entered against you in Civil Yes No ✘
Proceedings (including County Court Judgements) or in Arbitration or
are proceedings pending in which such a judgement or award
against you is a possibility, in any jurisdiction?
Have you ever been declared bankrupt? Yes No ✘
GENERAL HEALTH
If you answer ‘Yes’ to any of the following questions, please provide further
details on the
Additional Information page.
Are you a registered disabled person? Yes No ✘
Do you currently suffer from any medical conditions or illnesses Yes No ✘
which may impact on your ability to undertake employment?
DECLARATION
I certify that the above statements are true and that I hereby authorise McKenzie Fox
Limited to retain my personal details and to act on my behalf for the purposes of securing
employment.
SIGNATURE: keval sidhdhapara
DATE: 2-11-2023
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HOW DID YOU HEAR ABOUT MCKENZIE FOX RECRUITMENT?
Recommended Radio ✘ Internet Newspaper Job
Centre
Contacted Directly Referred By A Friend Facebook Other
OTHER (PLEASE SPECIFY):
ARE YOU REGISTERED WITH ANY OTHER AGENCIES?
No
DO YOU HAVE ANY OUTSTANDING APPLICATIONS?
No
JOB ALERTS
Would you like to receive automatic email job alerts specific Yes ✘ No
to your current job search?
This information constitutes sensitive personal data as defined by the Data Protection
Act. By submitting this data you consent to the holding of this data by McKenzie Fox
Limited for the purposes of finding employment and also being used by us for the
purposes of diversity statistical data which may occasionally be shared with clients.
I confirm that all the information provided to McKenzie Fox Limited on this form is true
and correct. I understand that McKenzie Fox Limited will be unable to act on my behalf
for the purpose of seeking employment should I provide false information.
FULL NAME: keval sidhdhapara
SIGNATURE: keval sidhdhapara
DATE: 2-11-2023
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If you are seeking temporary or contract employment or are not currently
employed then you must provide reference contact details to cover the last
five years of employment and / or education. You should provide reference
details from former employers but not your current employer (if applicable),
unless you are happy for us to contact them. In all cases we require a minimum
of two references.
REFERENCE ONE
PLEASE INDICATE AS APPROPRIATE: Employment Education Professional
✘ Other
REFEREE NAME: mehmood
REFEREE JOB TITLE: production manager
COMPANY / SCHOOL: caffe concerto
EMAIL: TEL. NO.: 07921399852
ADDRESS:
unit 2 3, Genesis Business Park, 5 Rainsford Rd, London NW10 7RG
DATE FROM: 01 -08-2023 DATE TO: 02-11-2023
REFERENCE TWO
PLEASE INDICATE AS APPROPRIATE: Employment ✘ Education Professional
Other
REFEREE NAME: university hub
REFEREE JOB TITLE: hub assistance
COMPANY / SCHOOL: university of east london
EMAIL: TEL. NO.: 020 8223 3000
ADDRESS:
University Way, London E16 2RD
DATE FROM: 15 sep 2022 DATE TO: 15 sep 2023
REFERENCE THREE
PLEASE INDICATE AS APPROPRIATE: Employment Education Professional
Other
REFEREE NAME:
REFEREE JOB TITLE:
COMPANY / SCHOOL:
EMAIL: TEL. NO.:
ADDRESS:
DATE FROM: DATE TO:
I hereby give McKenzie Fox permission to contact the above referees for the
purpose of obtaining references.
FULL NAME: keval sidhdhapara
SIGNATURE: keval sidhdhapara
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DATE: 02-11-2023
ADDITIONAL INFORMATION:
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