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Number of days sickness absence in last 2 years: Please disclose any health issues that may affect your ability to do this job: Section 9 – Declaration Internal applicant External applicant Please state where you saw this post advertised: I hereby certify that: • • • • all the information given by me on this form is correct to the best of my knowledge and believe all questions relating to me have been accurately and fully answered I possess all the qualifications which I claim to hold I understand that should my application be successful and it be discovered subsequently that the information has been falsified then disciplinary action may include dismissal from the post.. Section 10 – Returning this Form Post marked Private Confidential E-mail Group Recruitment Manager North Midland Construction PLC Nunn Close The County Estate Huthwaite Nottinghamshire NG17 2HW karen.mcmain northmid.co.uk Enquiries Telephone: 01623 515008 Direct Fax: 01623 518182 Section 11 – Recruitment Appeals Procedures If you consider that you have been discriminated against during recruitment because of your race, colour, sex, disability, age or sexual orientation then send full details, within 14 days of the alleged act being discovered, marked Private Confidential to the Group HR Manager..
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