Please return the completed form to Cambridge Worldwide Consultancy.

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1 Job Application Please return the completed form to Cambridge Worldwide Consultancy Application for the post of: : Location of position Africa... Asia... Europe... Middle East... Personal Details Please fill in this application form and provide detailed information your qualifications and work experience. This information will be stored on our computer files. Surname: Previous Surnames (If applicable): Address for Correspondence: Forenames: Home Tel No: Mobile Tel No: Work Tel No: Present/Last Place of Employment Post Title: Date Appointed: (DD/MM/YY) Name & Address of Employer: Salary & other Benefits/Allowances: y. Period of Notice required: months/weeks Tel No: Fax No: Date of leaving: Reason for leaving: Please give a brief summary of the main duties and responsibilities of your current/most recent position:

2 Employment History Please provide information on your work history in a chronological order starting with the most recent job. Name & Address of DD/MM/YY Job Title Reason for Leaving Employer From To Are you a member of a professional body? Yes No Please state any membership of relevant professional bodies and include joining dates: References Please give contact details of two individuals CWC can contact for references. Both referees must be from your present or most recent employer. Reference 1: Reference 2: Name: Address: Name: Address: Tel No: Tel No: May we obtain this reference prior to your interview? May we obtain this reference prior to your interview? Yes No Yes No Education, Training and Qualifications University Course & Subject(s) taken Qualifications Gained

3 Other Training Attended: Additional Information Are there any barriers to you working overseas? Yes No Interview Arrangements Are you able to attend a Skype interview at short notice? Yes No Not applicable

4 Cover Letter Please describe how your skills, knowledge and experience meet the criteria outlined in the job description for this position you are applying for, please also give examples. Declaration I consent to the information I have provided being processed for employment related administration in accordance with the Data Protection Act Should your application be unsuccessful, your details will be kept on file unless you specifically request that they be removed. I declare the information on this form is true and accurate. I am prepared to complete an Enhanced Criminal Records Bureau Disclosure. Please tick this box to agree to the declaration statement above. Signature of applicant: Date:

5 Monitoring Form To ensure fairness in our recruitment practices and meet our clients requirements, we need you to provide us with the following information. 1. Title: 2. Full Name: 3. Job Applied for: 4. Date of Birth: D/MM/YY (this information if provided will be used for pre-employment checks) 5. Gender: Male Female 6. Marital Status: Single Married/Civil Partnership Divorced Separated Widowed 7. Ethnic Origin: A. White B. Black or Black British British White and Black Caribbean Irish White and Black African Any other White background White and Asian Any other Mixed background C. Black or Black British D. Asian or Asian British Caribbean Indian African Pakistani Any other Black or British background Bangladeshi Any other Asian or Asian British background E. Chinese or other Ethnic Group Chinese Other Ethnic Group 8. Nationality: Country of Birth: 9. Faith and Beliefs Atheist/None Buddhist Hinduism Jainism Judaism Prefer not to say Other (please specify) Baha i Christianity Islam Jehovah s Witness Pagan Rastafarian Sikhism If you have ticked the other box, please state your religion or belief below: 10. Sexual Orientation: Heterosexual/Straight Homosexual/Gay/Lesbian Bisexual Prefer not to say Note: Information disclosed on this page (unless otherwise stated) will be used for monitoring purposes only and treated with strictest confidence. Information will be held on computer files.

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