Dangan Group

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* Title

* First Name

* Last Name

* Email

* Phone

* Mobile

* Street

City

State

Country

Postal Code

* Date of Birth

* PPS Number

* IBAN

* Nationality

* Passport Number

* Passport Expiry Date

Visa Number

Visa Expiry Date

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CV File

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Statutory Information & Declarations

* Do you have any unspent* criminal convictions? *

If Yes, state convictions and dates:

* Certain types of employment and professionals are exempt from the Rehabilitation of Offenders Act 1974 and in those cases, particularly where the employment is sought in relation to positions involving vulnerable adults, details for all criminal convictions must be given. The information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Dangan Group, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.

Data Protection Statement

The information that you provide on this form and on any CV given will be used by Dangan Group Ltd to provide you work finding service services. In providing this service to you, you consent ot 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 collected with third parties or with other information held by us. We may also use or pass to certain third parties information to present or detect crime, to protect public funds or in other ways permitted or required by law.

Eligibility to Work

Do you have immigration permission to work in Ireland? *

If No, please add some comments below:

In line with Revenue guidance on the prevention of illegal working, we will need to verify and take a copy of your original ID documentation as evidence of your right to work in Ireland, if you are to be represented by Dangan Group and introduced to a company for a permanent position.

Health and Disability

* The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.

* Do you have any health issues or a disability relevant to the position or role you seek? *

If Yes, please specify:

* If you have a disability, what are your needs in terms of reasonable adjustment to enable you to perform the role sought?

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc?