Contact Info
First Name
Surname
Phone Number
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Privacy
Assure and Secure is a specialised security company and is committed to protecting the privacy and security of your personal information and complies with data protections laws (including the general data protection regulation 2016/679 and the UK Data Protection Act 2018 as supplemented and amended).
Our head office is located at Unit 31, 638 Springfield Road, Belfast, BT12 7DY.
The following privacy policy explains how we hold and use any personal information we collect about you in accordance with the General Data Protection Regulation (GDPR).
Privacy Policy
I agree
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ROI Application Agreement
The information in this application is required to ensure you are suitable to contract with the Company to provide security services.
If you do provide services to the Company you will do so as a casual worker and not as an employee. For the avoidance of any doubt this means that your employment rights are limited to that which workers are entitled to. In particular, it does not create any obligation on the Company to provide work to you and by signing this document you confirm your understanding that the Company makes no promise or guarantee of a minimum level of work to you. In recognition of the fact that it is the intention of both you and the Company that there be no mutuality of obligation between the parties at any time when you are not performing an assignment of security services for the Company, we further acknowledge that you are under no obligation to accept worked offered to you by the Company. If you do choose to work with the Company each assignment shall constitute a separate contract for services. If you accept an assignment of work but are subsequently unable to complete it for any reason, you should inform the Company immediately.
You will only be paid for the hours that you work. The Company will make all necessary deductions from your pay as required by law and shall be entitled to deduct from your pay or other payments due to you any money which you may owe to the Company at any time.
As a casual worker your holiday entitlement will depend on the number of hours that you actually work and be pro-rated on the basis of a full-time entitlement of 5.6 weeks holiday (including all bank holiday entitlements) during each full holiday year. Your holiday entitlement is therefore equivalent to 12.07% of the hours that you actually work in each holiday year. At the end of each assignment the Company will pay you in lieu of any accrued but untaken holiday for the holiday year in which the assignment ends.
I agree with the terms of this application agreement
Full Name
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Personal Details
Nearest Location
Northern Ireland Republic of Ireland
Country
Aruba Afghanistan Angola Anguilla Åland Islands Albania Andorra United Arab Emirates Argentina Armenia American Samoa Antarctica French Southern Territories Antigua and Barbuda Australia Austria Azerbaijan Burundi Belgium Benin Bonaire, Sint Eustatius and Saba Burkina Faso Bangladesh Bulgaria Bahrain Bahamas Bosnia and Herzegovina Saint Barthélemy Belarus Belize Bermuda Bolivia, Plurinational State of Brazil Barbados Brunei Darussalam Bhutan Bouvet Island Botswana Central African Republic Canada Cocos (Keeling) Islands Switzerland Chile China Côte d'Ivoire Cameroon Congo, Democratic Republic of the Congo Cook Islands Colombia Comoros Cabo Verde Costa Rica Cuba Curaçao Christmas Island Cayman Islands Cyprus Czechia Germany Djibouti Dominica Denmark Dominican Republic Algeria Ecuador Egypt Eritrea Western Sahara Spain Estonia Ethiopia Finland Fiji Falkland Islands (Malvinas) France Faroe Islands Micronesia, Federated States of Gabon United Kingdom of Great Britain and Northern Ireland Georgia Guernsey Ghana Gibraltar Guinea Guadeloupe Gambia Guinea-Bissau Equatorial Guinea Greece Grenada Greenland Guatemala French Guiana Guam Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Isle of Man India British Indian Ocean Territory Ireland Iran, Islamic Republic of Iraq Iceland Israel Italy Jamaica Jersey Jordan Japan Kazakhstan Kenya Kyrgyzstan Cambodia Kiribati Saint Kitts and Nevis Korea, Republic of Kuwait Lao People's Democratic Republic Lebanon Liberia Libya Saint Lucia Liechtenstein Sri Lanka Lesotho Lithuania Luxembourg Latvia Macao Saint Martin (French part) Morocco Monaco Moldova, Republic of Madagascar Maldives Mexico Marshall Islands North Macedonia Mali Malta Myanmar Montenegro Mongolia Northern Mariana Islands Mozambique Mauritania Montserrat Martinique Mauritius Malawi Malaysia Mayotte Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Niue Netherlands, Kingdom of the Norway Nepal Nauru New Zealand Oman Pakistan Panama Pitcairn Peru Philippines Palau Papua New Guinea Poland Puerto Rico Korea, Democratic People's Republic of Portugal Paraguay Palestine, State of French Polynesia Qatar Réunion Romania Russian Federation Rwanda Saudi Arabia Sudan Senegal Singapore South Georgia and the South Sandwich Islands Saint Helena, Ascension and Tristan da Cunha Svalbard and Jan Mayen Solomon Islands Sierra Leone El Salvador San Marino Somalia Saint Pierre and Miquelon Serbia South Sudan Sao Tome and Principe Suriname Slovakia Slovenia Sweden Eswatini Sint Maarten (Dutch part) Seychelles Syrian Arab Republic Turks and Caicos Islands Chad Togo Thailand Tajikistan Tokelau Turkmenistan Timor-Leste Tonga Trinidad and Tobago Tunisia Türkiye Tuvalu Taiwan, Province of China Tanzania, United Republic of Uganda Ukraine United States Minor Outlying Islands Uruguay United States of America Uzbekistan Holy See Saint Vincent and the Grenadines Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis and Futuna Samoa Yemen South Africa Zambia Zimbabwe
Social Number
Nationality
Aruba Afghanistan Angola Anguilla Åland Islands Albania Andorra United Arab Emirates Argentina Armenia American Samoa Antarctica French Southern Territories Antigua and Barbuda Australia Austria Azerbaijan Burundi Belgium Benin Bonaire, Sint Eustatius and Saba Burkina Faso Bangladesh Bulgaria Bahrain Bahamas Bosnia and Herzegovina Saint Barthélemy Belarus Belize Bermuda Bolivia, Plurinational State of Brazil Barbados Brunei Darussalam Bhutan Bouvet Island Botswana Central African Republic Canada Cocos (Keeling) Islands Switzerland Chile China Côte d'Ivoire Cameroon Congo, Democratic Republic of the Congo Cook Islands Colombia Comoros Cabo Verde Costa Rica Cuba Curaçao Christmas Island Cayman Islands Cyprus Czechia Germany Djibouti Dominica Denmark Dominican Republic Algeria Ecuador Egypt Eritrea Western Sahara Spain Estonia Ethiopia Finland Fiji Falkland Islands (Malvinas) France Faroe Islands Micronesia, Federated States of Gabon United Kingdom of Great Britain and Northern Ireland Georgia Guernsey Ghana Gibraltar Guinea Guadeloupe Gambia Guinea-Bissau Equatorial Guinea Greece Grenada Greenland Guatemala French Guiana Guam Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Isle of Man India British Indian Ocean Territory Ireland Iran, Islamic Republic of Iraq Iceland Israel Italy Jamaica Jersey Jordan Japan Kazakhstan Kenya Kyrgyzstan Cambodia Kiribati Saint Kitts and Nevis Korea, Republic of Kuwait Lao People's Democratic Republic Lebanon Liberia Libya Saint Lucia Liechtenstein Sri Lanka Lesotho Lithuania Luxembourg Latvia Macao Saint Martin (French part) Morocco Monaco Moldova, Republic of Madagascar Maldives Mexico Marshall Islands North Macedonia Mali Malta Myanmar Montenegro Mongolia Northern Mariana Islands Mozambique Mauritania Montserrat Martinique Mauritius Malawi Malaysia Mayotte Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Niue Netherlands, Kingdom of the Norway Nepal Nauru New Zealand Oman Pakistan Panama Pitcairn Peru Philippines Palau Papua New Guinea Poland Puerto Rico Korea, Democratic People's Republic of Portugal Paraguay Palestine, State of French Polynesia Qatar Réunion Romania Russian Federation Rwanda Saudi Arabia Sudan Senegal Singapore South Georgia and the South Sandwich Islands Saint Helena, Ascension and Tristan da Cunha Svalbard and Jan Mayen Solomon Islands Sierra Leone El Salvador San Marino Somalia Saint Pierre and Miquelon Serbia South Sudan Sao Tome and Principe Suriname Slovakia Slovenia Sweden Eswatini Sint Maarten (Dutch part) Seychelles Syrian Arab Republic Turks and Caicos Islands Chad Togo Thailand Tajikistan Tokelau Turkmenistan Timor-Leste Tonga Trinidad and Tobago Tunisia Türkiye Tuvalu Taiwan, Province of China Tanzania, United Republic of Uganda Ukraine United States Minor Outlying Islands Uruguay United States of America Uzbekistan Holy See Saint Vincent and the Grenadines Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis and Futuna Samoa Yemen South Africa Zambia Zimbabwe
Place of Birth
Aruba Afghanistan Angola Anguilla Åland Islands Albania Andorra United Arab Emirates Argentina Armenia American Samoa Antarctica French Southern Territories Antigua and Barbuda Australia Austria Azerbaijan Burundi Belgium Benin Bonaire, Sint Eustatius and Saba Burkina Faso Bangladesh Bulgaria Bahrain Bahamas Bosnia and Herzegovina Saint Barthélemy Belarus Belize Bermuda Bolivia, Plurinational State of Brazil Barbados Brunei Darussalam Bhutan Bouvet Island Botswana Central African Republic Canada Cocos (Keeling) Islands Switzerland Chile China Côte d'Ivoire Cameroon Congo, Democratic Republic of the Congo Cook Islands Colombia Comoros Cabo Verde Costa Rica Cuba Curaçao Christmas Island Cayman Islands Cyprus Czechia Germany Djibouti Dominica Denmark Dominican Republic Algeria Ecuador Egypt Eritrea Western Sahara Spain Estonia Ethiopia Finland Fiji Falkland Islands (Malvinas) France Faroe Islands Micronesia, Federated States of Gabon United Kingdom of Great Britain and Northern Ireland Georgia Guernsey Ghana Gibraltar Guinea Guadeloupe Gambia Guinea-Bissau Equatorial Guinea Greece Grenada Greenland Guatemala French Guiana Guam Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Isle of Man India British Indian Ocean Territory Ireland Iran, Islamic Republic of Iraq Iceland Israel Italy Jamaica Jersey Jordan Japan Kazakhstan Kenya Kyrgyzstan Cambodia Kiribati Saint Kitts and Nevis Korea, Republic of Kuwait Lao People's Democratic Republic Lebanon Liberia Libya Saint Lucia Liechtenstein Sri Lanka Lesotho Lithuania Luxembourg Latvia Macao Saint Martin (French part) Morocco Monaco Moldova, Republic of Madagascar Maldives Mexico Marshall Islands North Macedonia Mali Malta Myanmar Montenegro Mongolia Northern Mariana Islands Mozambique Mauritania Montserrat Martinique Mauritius Malawi Malaysia Mayotte Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Niue Netherlands, Kingdom of the Norway Nepal Nauru New Zealand Oman Pakistan Panama Pitcairn Peru Philippines Palau Papua New Guinea Poland Puerto Rico Korea, Democratic People's Republic of Portugal Paraguay Palestine, State of French Polynesia Qatar Réunion Romania Russian Federation Rwanda Saudi Arabia Sudan Senegal Singapore South Georgia and the South Sandwich Islands Saint Helena, Ascension and Tristan da Cunha Svalbard and Jan Mayen Solomon Islands Sierra Leone El Salvador San Marino Somalia Saint Pierre and Miquelon Serbia South Sudan Sao Tome and Principe Suriname Slovakia Slovenia Sweden Eswatini Sint Maarten (Dutch part) Seychelles Syrian Arab Republic Turks and Caicos Islands Chad Togo Thailand Tajikistan Tokelau Turkmenistan Timor-Leste Tonga Trinidad and Tobago Tunisia Türkiye Tuvalu Taiwan, Province of China Tanzania, United Republic of Uganda Ukraine United States Minor Outlying Islands Uruguay United States of America Uzbekistan Holy See Saint Vincent and the Grenadines Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis and Futuna Samoa Yemen South Africa Zambia Zimbabwe
Gender
Male Female Other Prefer not to day
Date of Birth
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5 Year Address History
In order to work within the security Industry, we require you to provide a complete 5 year address history.
Please tell us how long you have lived at your current address:
Current Address
Years
1 2 3 4 5 6 7 8 9 10 11 12 12+
Months
1 2 3 4 5 6 7 8 9 10 11 12 12+
If you have lived at your current address for less than 5 years, please list your previous addresses below:
Previous Address 1
House Number
Street Address
City
County
Country
From
To
Previous Address 2
House Number
Street Address
City
County
Country
From
To
Previous Address 3
House Number
Street Address
City
County
Country
From
To
Previous Address 4
House Number
Street Address
City
County
Country
From
To
Previous Address 5
House Number
Street Address
City
County
Country
From
To
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Background
Do you have any criminal cautions or convictions for criminal offences, including motoring offences and pending actions?
Yes No
If yes, please enter your conviction date>
If yes, please provide the details of your conviction, caution or written warning including the date
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About You
What if your current employment status?
Employed Unemployed Full-time Education Retired
Please fill in which fields are applicable
If you are employed or in full-time education please provide details below:
Name of Organisation
Address line 1
Address line 2
Start Date
If you are retired or unemployed please state when this was effective from:
Date
If the above is less than 5 years, please provide further details below to cover a 5 year history
Name of Organisation
Address line 1
Address line 2
Start Date
End Date
Name of Organisation
Address line 1
Address line 2
Start Date
End Date
Have you previously worked for Assure and Secure?
Yes No
Have you previously worked for any Stewarding Organisation? If so please state their name below
If you have other skills suitable for Stewarding e.g. BSL, ISL, languages other than English, please state below.
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References
Please enter contact details for two references below
Reference One
Name
Company
Phone
Email
Reference Two
Name
Company
Phone
Email
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Emergency Contact
Please enter contact details for an emergency contact below
First Name
Surname
Number
Relation
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PSA Qualification
Do you have a PSA Qualification?
Yes No
License Number
License Expiry Date
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ROI Licensed Declaration
General
I certify that to the best of my knowledge, the information that I have given in my application for employment is true and complete and understand that any false statement or omission to the Company or its representatives may render or lead to termination of employment without notice. I understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1938 in confirmation of previous employment or unemployment. I authorise the Company or its agents to approach government agencies, former employers, educational establishments, criminal justice agencies and personal referees for information relating to and verification of my employment or unemployment record. I consent to the Companys reasonable processing of any personal information obtained for the purposes of establishing my medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination when requested by the Company. I consent to the results of such examinations to be given to the Company. I further declare that any documents that I provide as proof of my identity, proof of address, proof of right to work and any other documents are genuine and give my consent for these documents to be examined under a UV scanner or similar device. I acknowledge that any falsified documents may be reported to the appropriate authority.
Data Protection Act 2018
The Company will use the information you have given on your application form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment. It may be necessary to disclose your information to our agents and other service providers. By returning this form to the Company you consent to us processing personal data about you where this is necessary, for example information about your criminal offences. You also consent to the transfer of your information to your current and future potential employers where this is necessary (this may be to companies operating abroad if you apply for work outside of the ROI)). Your information will be held on our computer database and/or in our paper filing systems. By signing below, you agree to this process and confirm that you do not have a criminal record. You have the right to apply for a copy of your information and to have any inaccuracies corrected.
GDPR
Assure and Secure will process your information in line with our Privacy Notice and General Data Protection Regulations which you can request a copy of.
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.
By signing this declaration, I agree that I have provided complete and true information and I understand that knowingly making a false statement for this purpose may be a criminal offence.
I understand that Assure & Secure will protect my personal data in accordance with the General Data Protection Regulations.
I agree to ROI License Declaration
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Submit Application
If you need to review any of the information you have inputted, just click on the back button until you get to the relevant step.
Please submit your application with the submit button
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