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Veterinary Nurse Registration Form

In order to complete your registration we are required by law to obtain proof of your identity/eligibility to work in the UK. Therefore the following registration forn includes the facility to send a copy of relevent documents. If you are able, please scan your documents so that they can be uploaded and included with this form.

Note: We can accept JPG or TIF file formats for your proof of identity images and DOC (Microsoft Word) documents for your CV

PERSONAL INFORMATION

* Title:

* Full Name:

* Address:

* Postcode:

* Telephone Number:

Mobile:

* Email:

Date of Birth:

* Gender:

* Marital Status:

* Nationality:

* Mother Tongue/Language:

Type of work permit (if applicable):

Drivers Licence:

* Car Owner:

* Professional Qualifications (including date and place of qualification):

RCVS Membership Number:

* Type of Work:

Dates available:

Preferred Location:

What are you looking for from a position?:

Do you have any special requirements (e.g. travelling with a partner/pets) or is there any additional information or area of particular interest not already covered that you feel we should be aware of?

requirement details:

EMPLOYMENT

* If you are currently in employment does your employer know you are leaving?:

What are your reasons for leaving?

Reason for leaving:

* Employment Status:

* Are you VAT registered?:

Health Declaration

Do you have any current or recent medical condition or are undergoing any treatment that might affect your attendance or performance at work? If yes please provide further details

Health details:

PROOF OF IDENTITY AND DOCUMENTATION CONFIRMING YOUR ELIGIBILITY TO WORK IN THE UK MUST BE FAXED/EMAILED/POSTED IN ORDER TO COMPLETE YOUR REGISTRATION – THIS IS A LEGAL REQUIREMENT.

proof of identity - Please select from the following options and ensure copies of the required documentation accompany your registration:

other

Eligibility to work in UK- Please select from the following options and ensure copies of the required documentation accompany your registration:

other

* Have you ever been convicted of a criminal offence?:

Offence Details:

* Have you ever had any disciplinary action taken against you by the RCVS?:

Details of disciplinary action:

* Are you a fully paid up member and in good standing with the RCVS?:

REFERENCES

In order to register with our company we require all of the above information along with a copy of your CV and details of two recent employers ( preferably to include your current or most recent employer) who we can contact to obtain a reference for you. We will also require you to agree with the terms and conditions listed below.

Click Browse to upload your CV

* First reference details:

May we contact this person on receipt of your application?

* Second reference details:

How did you hear about us?

May we contact this person on receipt of your application?

Type the code into the box provided

7DCB

I agree with the terms and conditions