APPLICATION FORM. Have you previously applied to npower or nvisage? If so, please indicate when (month, year)

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1 1 Advert Reference no: APPLICATION FORM National Power Retail Organisation is committed to a policy of Equal Opportunity in our employment practices. Pages 1 & 2 of this form are used for monitoring purposes. Position applied for (indicate part-time or full-time) Where did you see the vacancy advertised? Vacancy Ref No PERSONAL DETAILS Surname Mr/Mrs/Miss/Ms First Name(s) Marital Status Gender (Male / Female) Address Telephone No. Daytime Evening Have you previously applied to npower or nvisage? If so, please indicate when (month, year) Please tick the box if you have previously been employed by npower or nvisage. This information will be used for administraton purposes only. Please return your completed form to: Recruitment Team npower 234 Victoria Road Fenton Stoke On Trent ST4 2LW Thank you for your application which will be carefully considered. If you have not heard anything further within 28 days of the closing date, please assume that on this occasion you have been unsuccessful.

2 2 Nationality (Country(ies) of which you are entitled to hold a passport) If you are not a citizen of an EC Country, do you required a work permit? Yes No Ethnic origin (Please tick appropriate box) The Asylum and Immigration Act 1996 African Asian Caribbean UK European/Irish Other European Oriental/SE Asian Other (give details) Criminal Convictions Enter details of any prosecutions for which you have been found guilty (excluding motor traffic offences unless alcohol related). If none, state None Date Details of Offence Sentence Rehabilitation of Offenders Act 1974 Your attention is drawn to the fact that under the above Act you may be entitled to answer NONE to this question. It is therefore suggested that you take appropriate advice if you are in any doubt as to the correct answer to be given. Declaration The answers given in this application are true and accurate and I understand that to have supplied false information may result in dismissal. I agree to undergo a medical examination before appointment or at any time during my employment with Npower Limited. This form and information you provide on it may be extracted and stored in an automated or manual system. For the purposes of the Data Protection Act 1984 it constitutes personal data. It is a condition or our considering your application that you agree, subject to the safeguards of the Act, to the data, including data defined by the Act as sensitive, being processed. Signed Date Registered in England and Wales: Npower Limited. Registered No Npower Gas Limited Registered No Npower Commercial Gas Limited Registered No Npower Energy Sales Limited Registered No Npower Direct Limited Registered No Npower Customer Services Limited Registered Office: Windmill Hill Business Park, Whitehill Way, Swindon. SN5 6PB

3 3 Position applied for EDUCATIONAL/PROFESSIONAL/VOCATIONAL QUALIFICATIONS OBTAINED State type of qualification, subject, date of examination and grade. For degrees, diplomas or equivalent, please indicate which organisation made the award. Type of qualification/subject Date of Exam Grade Type of qualification/subject Date of Exam Grade If called for interview you should be prepared to produce certificates. Details of vocational training undertaken and/or membership of professional bodies. Current study for educational or other qualifications. Give start and expected completion date(s).

4 4 EMPLOYMENT HISTORY Start with present or most recent position and work backwards. Continue on a separate sheet if necessary. Dates Employer Job Title, Main Duties & Responsibilities, Salary Reason for leaving

5 5 ADDITIONAL INFORMATION Do you hold a current, full driving license? Yes No Car Motorcycle PSV HGV Class: Other: give details Do you have any driving endorsements? Yes No If yes, give details Interests & Hobbies Please mention those which are particularly relevant in support of your application. Also, give details of positions of responsibility held outside the working environment. Please give details of any serious or recurrent illness. How many days did you lose through sickness in your most recent 12 months of employment? Do you consider that you have a disability which, whilst not preventing you from fulfilling this post, may require alteration or adaptation of working arrangements, or any other condition that the Company should be aware of. If so, please give details.

6 6 Please use this page to state why you think you are the right person for the position you are applying for. You may wish to refer, for example, to your personal qualities, how your experience appears to fit the requirements of this post, problems encountered at work and how you solved them and the most rewarding aspects of your work experience to date. Continue on a separate sheet if necessary. REFERENCES Please give the names and addresses of two persons (not related to you) from which we can obtain a reference. These should related to your current and previous employers, where applicable. Name Name Address Address Telephone No. Telephone No.

7 7 To comply with the Asylum & Immigration regulations, we will require documentation to ensure that you are able to legally work in the UK. Please indicate which of the following documents are you able to provide (place a tick in the relevant box) A B C D E F G A passport showing that the holder is a British Citizen, or has the right of abode in the United Kingdom A document showing that the holder is a national of a European Economic area country or Switzerland. This must be a national passport or national identify card A residence permit issued by the Home Office to a national from a European Economic Area country or Switzerland A passport or other document issued by the home office which has an endorsement stating that the holder has a current right of residence in the United Kingdom as the family member of a national from a European Economic Area country or Switzerland who is resident in the United Kingdom A passport or other travel document endorsed to show that the holder can stay indefinitely in the United Kingdom, or has no time limit on their stay A passport or other travel document endorsed to show that the holder can stay in the United Kingdom; and that this endorsement allows the holder to do the type of work you are offering if they do not have a work permit An Application Registration Card issued by the Home Office to an asylum seeker stating that the holder is permitted to take employment If you are unable to provide any of the documents above, you must be able to provide document A A A Document giving the person s permanent National Insurance Number and Name. This could be a P45, P60, National Insurance card or a letter from a Government Agency And one of the documents listed below A B C D E F G A FULL birth certificate issued in the United Kingdom, which includes the names of the holder s parents A birth certificate issued in the Channel Islands, the Isle of Man or Ireland A certificate of registration or naturalisation stating that the holder is a British Citizen A letter issued by the Home Office to the holder which indicates that the person named in it can stay indefinitely in the United Kingdom, or has no time limit on their stay An Immigration Status Document issued by the Home Office to the holder with an endorsement indicating that the person named in it can stay indefinitely in the United Kingdom, or has no time limit on their stay A letter issued by the Home Office to the holder which indicates that the person named in it can stay in the United Kingdom, and this allows them to do the type of work you are offering An Immigration Status Document issued by the Home Office to the holder with an endorsement indicating that the person named in it can stay in the United Kingdom, and this allows them to do the type of work you are offering OR You must be able to provide document A below A A work permit or other approval to take employment that has been issued by Work Permits UK And one of the documents listed below B C A passport or other travel document endorsed to show that the holder is able to stay in the United Kingdom and can take the work permit employment in question A letter issued by the Home Office to the holder confirming that the person named in it is able to stay in the United Kingdom and can take the work permit employment in question