
Page 1 of 7                    Ref: Application Form V3. 10.06.08 
 
 
 
 
 
 
 
 
 
Position applied for 
 
 
 
 
North Midland Construction Job Application Form
 
 
 
THE INFORMATION SUPPLIED ON THIS FORM WILL BE TREATED IN CONFIDENCE 
 
Please complete this form fully using black ink or type. 
 
Applications received after specified closing dates will not normally be considered. 
 
 
Section 1 – Personal Details 
 
 
 
 
 
Last Name:
 
 
 
 
    First Name(s): 
 
 
 
Address: 
 
 
 
 
 
 
 
 
 
 
Postcode:
 
 
 
 
 
Home telephone no:
 
 
 
   
Mobile telephone no: 
 
 
 
 
E-mail address: 
 
 
 
 
National Insurance no: 
 
 
 
 
Do you need a work permit for permanent employment in the UK? 
 
Yes 
 
 
 
No
 
 
 
Do you need a Workers Registration Scheme? 
 
Yes 
 
 
 
No
 
 
 
(Note: we will require proof of this before an offer of employment can be confirmed – e.g. Birth Certificate and/or any other appropriate 
documentation required to confirm your right to work in the UK as required by the Asylum and Immigration Act 1996) 
 
 
Do you hold a full UK driving license? 
 
Yes 
 
 
 
No
 
 
 
If yes, do you have your own vehicle? 
 
Yes 
   
 
No
 
 
 
Have you previously been employed by this company? 
 
Yes 
 
 
 
No
 
 
 
 
 
If yes please give details:
 
 
 
 
 
 
 
 
 
www.northmid.co.uk