CANDIDATE APPLICATION FORM

Updated April 2018 REF NO: 0845 8887788 info@prsjobs.com CANDIDATE APPLICATION FORM OUR SERVICES ARE FREE TO CANDIDATES It is our mission to provide exceptional recruitment services that excel in terms of quality and speed of response. To enable us to fully understand your requirements and gauge your suitability for any of the jobs that we are working on, please fill out this application form, starting from page 2. We will also need you to provide us with evidence of your ID, right to work in the UK and references (UK legislation requires all candidates to provide appropriate evidence). One of our team of consultants will handle your application personally, according to the type of role you have applied for or are interested in. If you would like to speak to any of our experts, please call 0845 888 77 88 or visit http://www.prsjobs.com/contact All information is treated in the strictest of confidence in accordance with current Data Protection legislation. Please see the CANDIDATE PRIVACY NOTICE in Appendix I for more details. PHOENIX RESOURCING SERVICES IS AN EQUAL OPPORTUNITIES AGENCY OFFICE USE ONLY INTERVIEW DATE CANDIDATES NAME CONSULTANTS NAME POSITION(S) SOUGHT COPY OF RTW/ID DOCUMENTS YES NO APPLICATION FORM SIGNED YES NO OFFICE USE ONLY CONSULTANT EVALUATION Experience:- Roles, dates & locations:-

PERSONAL DETAILS Forename(s): Surname: Title: Mr/Mrs/Miss/Ms/Dr/Other (please specify): Present Address in UK: Address in Home Country: Home No: Mobile No: Nationality: Marital Status: Work No: Email: National Insurance No: DOB: Gender: Male Female Are you legally authorised to If you have a visa to work in the work in the UK? UK, what is the expiry date? May we contact you at work? Yes No Yes No Name of next of Kin: Address of Next of Kin: Relationship to You: Next of Kin Details (contact in an emergency) Email Mobile Tel No: Home Tel No: RIGHT TO WORK DOCUMENTATION Please tick which documents you have provided to show your Right to Work in the United Kingdom Consultant Please check validity as per the Compliance Guidelines Tick A British or EEA/Swiss Passport An endorsed passport or travel document (non-british or EEA) A residence card, permit, registration certificate or document A full birth or adoption certificate together with an official document stating name and NI number An Immigration Status Document together with an official document stating name and NI number A certificate of registration or naturalisation together with an official document stating name and NI number A letter issued by a relevant authority together with an official document stating name and NI number A work permit together with an official document stating name and NI number A Certificate of Application or ARC less than 6 months old together with a position verification letter Please specify any expiry dates (if non British/EEA): A full list of accepted documents and combinations can be found in Appendix II to this form. Please note that a driver s licence issued by the DVLA is not a valid right to work document. LICENCE DETAILS Do you have a current UK driving licence? Yes No If yes, please specify number of penalty points: Do you have your own transport? Yes No If yes, please specify type: Do you hold any other form of licence? E.G SIA? Yes No If yes, please specify form: SECURITY DETAILS Do you hold a Criminal Records Bureau Disclosure check carried out within the last 3 years? Yes No If yes, please specify which level (E.G. Standard/Enhanced). Do you have any convictions, cautions, reprimands or final warnings that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013). If yes, give details. If no, please write No criminal convictions...

If the information on this page has already been submitted on your CV, please leave blank. ACADEMIC QUALIFICATIONS School / College / University Qualification Grade Dates PROFESSIONAL RECORD Training/job related courses Date Taken Date Expires MEMBERSHIP OF PROFESSIONAL BODIES Institution Expiry Dates

If the information on this page has already been submitted on your CV, please leave blank. EMPLOYMENT HISTORY Most Recent Employer Details Job title Dates From/To Reason for leaving Website: Consultant notes: Notice required by present employer Previous Employer Details Job title Dates From/To Reason for leaving Website: Consultant notes: Website: Consultant notes: Website: Consultant notes:

EMPLOYER REFERENCES Please give names and addresses of two referees from employment (who should not be related to you) who may be approached in connection with your application. The first must be your current or most recent employer. Name: Referee s Position in Surname: E-mail Tel No: Fax No: When can we contact this referee? Now At offer stage Or specify date Name: Referee s Position in Surname E-mail Tel No: Fax No: When can we contact this referee? Now At offer stage Or specify date EQUAL OPPORTUNITIES PRS is an Equal Opportunities agency whose aim is to ensure that it does not discriminate in the selection for employment retention or promotion of any person on the ground of their race, ethnic origin, colour, marital status, disability or sex (this information is optional, see declaration below for more details). Gender: Male Female White Asian or British Asian Black or Black British Chinese or Chinese British Mixed Any other ethnic background I do not wish to declare my ethnicity RECORDS Do you have a Criminal Record (Subject to exemption) as per the Rehabilitation of Offenders Act 1974? Yes No HEALTH & SAFETY Do you require any reasonable adjustments to be made/special facilities to be provided to enable you to attend any interview or assessment? Yes No If yes, please specify: BANK DETAILS To be completed by those applying for temporary assignments Account Holder Name Bank Name Account Number (8 digits) Sort Code (6 digits)

DECLARATION Temporary Workers (PAYE) If I am appointed I may be paid directly by PRS, Crown Sure or by Ship Shape Contract Services depending on my employment status. PRS will share my personal data in accordance with the Candidate Privacy Notice in Appendix I, with contracted business partners as required to facilitate payment. I have read and understood PRS/Crown Sure terms of engagement for temporary workers and the Candidate Privacy Notice All PAYE staff to avoid emergency tax must complete P45 or P46 form I have read and understood PRS health and safety policy and recommended procedures for safe working practices I wish to opt out / comply with* Working Time Directive regulations regarding a maximum 48 hr working week (PAYE staff only)* delete I do / do not *wish to make contributions into the PRS stakeholder pension scheme (PAYE staff only)* delete Smart personal presentation is essential for all of our assignments The signed timesheet deadline is 17:00 each Monday (week ends on a Friday). Timesheets will only be paid if they are signed by an authorised signatory from site. If you are unable to make it to your assignment, please call PRS before your start time (24 hours on 07968 619923 or Office on 0845 8887788). Expenses will only be paid if agreed in advance The consumption of alcohol is prohibited prior to any assignment Safety footwear and personal safety equipment must be worn where required Holiday pay will be accrued at the rate of 24 days per annum and paid separately upon submission of a timesheet claiming holiday pay must be claimed 2 weeks after last assignment or on receipt of a P46 form I accept that pay may be withheld if appropriate Right to Work documents are not submitted In accordance with the Candidate Privacy Notice in Appendix I, I hereby give my full authority for the above information to be released for the purpose of a credit reference check being conducted the outcome of the credit check will be reported back to the requesting company s accounts department. Limited Company Contractors, Self Employed Contractors, Contractors Using Umbrella Companies I have read and understood PRS/Crown Sure terms of engagement for temporary contractors and the Candidate Privacy Notice. I have read and understood PRS health and safety policy and recommended procedures for safe working practices I have complied with MSC Debt Transfer Rules I understand I will be paid via Ship Shape Contract Services unless I specifically volunteer another legally compliant structure I have read and understood the Ship Shape Contract Services terms and conditions Smart personal presentation is essential for all of our assignments. The signed timesheet deadline is 17:00 each Monday (week ends on a Friday). Timesheets will only be paid if they are signed by an authorised signatory from site. If you are unable to make it to your assignment, please call PRS before your start time (24 hours on 07968 619923 or Office on 020 7553 5661). Expenses will only be paid if agreed in advance The consumption of alcohol is prohibited prior to any assignment Safety footwear and personal safety equipment must be worn where required I accept that pay may be withheld if appropriate Right to Work documents are not submitted In accordance with the Candidate Privacy Notice in Appendix I, I hereby give my full authority for the above information to be released for the purpose of a credit reference check being conducted the outcome of the credit check will be reported back to the requesting company s accounts department In accordance with and for the purposes set out in the Candidate Privacy Notice in Appendix I, your details may be made available to third party companies, if you would not like your details made available for these purposes, please tick the box I declare that the information given on all parts of this application form and in any CV which accompanies it is, to the best of my knowledge, correct. I understand that giving false information will make my application unacceptable and if I am appointed, lead to my dismissal. I accept and acknowledge that: The information on this form may be used and processed by PRS in accordance with the Candidate Privacy Notice in Appendix I and if I am appointed, will form a part of my permanent personal record. The information in the Equal Opportunities Monitoring form which accompanies this form will be used in accordance with the Candidate Privacy Notice in Appendix I, to identify and review the equality of treatment between individuals with a view to enabling such equality to be promoted and maintained. Those who are responsible for making selection decisions will not see it. Signature:. Date:. Print Name...

APPENDIX I - CANDIDATE PRIVACY NOTICE As part of our candidate application and recruitment process PRS collects, processes and stores personal information about you. We process this information for a range of purposes relating to the recruitment process and this may include your application, assessment, pre-employment screening and your worker permissions. This document sets out: i. Why we collect your personal information; ii. What information is collected and; iii. How it is processed within the recruitment process. Throughout this Privacy Notice we use the term processing to cover all activities involving your personal information, including collecting, handling, storing, sharing, accessing, using, transferring and disposing of the information. 1) Why do we collect your personal information? In order to consider you for roles and manage any applications or assignments, we need to process certain personal information about you. The purposes for this are set out below. We only process your information as necessary for the purposes of considering you for and notifying you of potentially suitable roles, progressing any applications, managing any assignments or as required by law or regulatory requirements, so not all of the purposes set out below will apply to you all of the time. Registration & Application: CV, name, address, employment history, academic and professional qualifications, age, diversity (i.e. gender. ethnicity, disability, sexual orientation) for Equal Opportunities Monitoring, nationality and previous disciplinary matters Assessment & Pre-employment screening: CV, psychometric tests (such as a situational judgement test, ability or personality test), interview (face to face, telephone or video), behavioural assessments (such as a role play, group exercise or presentation), technical assessments; county court judgements, credit history, penalties for tax evasion (see sections 6, 7 & 8 for more information on PES screening); Managing assignments: name, address, bank account details, compensation information, time sheets and attendance records; Marketing Activity: to send details of reports, promotions, offers, networking and client events, and general information about the industry sectors which we think might be of interest to you. 2) What personal information might we process? Here are some examples of the type of information we may process. There s a full list in the schedule at the end of this notice. Personal details such as name, address, date and place of birth, gender, marital status & dependents; Work history/job data; previous employers, positions, dates, etc.; Compensation; basic salary, benefits, bonuses, financial information, etc.; Education and work history including professional qualifications and skills; Nationality / visa / immigration/ right to work permit information; (e.g. passport, driving licence, National Insurance numbers) [Photographs and images from recorded assessments or from on site CCTV;] Results of pre-employment screening checks (e.g. credit history, criminal records checks where permitted under local law); Assessment results e.g. Psychometric assessment results, results from gamification and video or telephone assessment During our relationship with you we may also capture some sensitive personal data about you (e.g. disability or health information). We do this in order to enable us to identify and review the equality of treatment between individuals with a view to enabling such equality to be promoted and maintained. 3) Who do we share your personal information with? PRS will need to share your personal information internally (including with Crown Sure and/or Ship Shape Contract Services), as well as with potential employers and some external parties or associates of PRS. Some of these third parties and associates will be located outside the European Economic Area ( EEA ). Your information will only be shared if it is necessary or required (for example in order to carry out pre-employment screening). The application and recruitment process may involve: Assessing your suitability (skills, strengths, behaviours for potential roles); Assessing and progressing any applications; and Activities needed to complete the on-boarding and screening process should an application be successful. To enable these processes your personal information may be shared internally, but the information shared is limited to what is required by each individual to perform their role. Your personal information may be shared internally with the following people: Consultants who may be responsible for assessing your suitability for potential roles; Employees in HR and Legal who have responsibility for certain HR and Legal processes connected with your application and any contractual requirements; Employees in IT and system owners who manage user access; and Audit and Investigations employees in relation to specific audits/investigations. PRS may also need to share your information with certain external third parties including: Client companies of PRS; Third party companies that provide candidate interview and assessment services; Suppliers who undertake background screening (credit checking agencies, criminal checking bureaus, etc.); Academic institutions (Universities, colleges, etc.) in validating information that you ve provided;

Other third-party suppliers (or potential suppliers), who provide services on our behalf. 4) How do we protect your information? Our IT and recruitment systems are protected to ensure that unauthorised or unlawful processing of personal information, accidental loss or destruction of, or damage to, personal information does not occur. Where we share information with other parties located outside of the UK, as a minimum, PRS will require that such personal information is protected as required by UK law. PRS also requires its third-party suppliers or recipients of personal information to guarantee the same level of protection as we provide. Your personal information will be retained in accordance with PRS Privacy Policy (which means that we may continue to hold some information after your initial application is complete). A copy of the full policy is available on our website (www.prsjobs.com). 5) Your Rights You are entitled to see the information that PRS holds about you. You can also request changes to be made to any incorrect information. You can ask for information to be deleted if you think that PRS shouldn t be processing that information or is processing it incorrectly. If you have any queries about this notice or your personal information generally, including questions about accessing your personal information or correcting it, you should contact our data protection team info@prsjobs.com in the first instance. It is your responsibility to keep your personal information up to date so that accurate application records can be maintained. As this document is updated, the current versions will be posted on our website (www.prsjobs.com). 6) Screening checks As part of the selection process for certain roles, PRS may perform a number of screening checks, where permitted by local law. These checks are only performed on candidates who have been selected for a particular role and only if required by our client. Your consent will be requested before screening checks are performed. 7) Criminal records checks For certain roles, it may be appropriate or necessary for PRS to undertake checks to ensure that candidates can be relied upon to handle client money and information responsibly. We may therefore ask questions about any prior civil or criminal proceedings you may have been subject to and may also conduct criminal record checks. 8) Credit reference agencies We may undertake searches about you at credit reference agencies who will supply us with information, including information from the electoral register, in support of any application. The agencies will record details of the search, but will not make them available for use by lenders to assess your ability to obtain credit. You have the right of access to your personal records held by credit reference agencies. We will supply their names and addresses upon request. 9) Processing Conditions PRS entitlement to process your personal information is governed by a number of processing conditions. This means that we may rely on more than one of these conditions in order to process elements of your personal information throughout our relationship with you. PRS will process your personal information in the administration of your registration as a candidate; PRS may process your personal information in the administration of any application or in connection with the performance of any assignment. PRS will also process your personal information where it is required by law or regulation or it is in the legitimate interests of you or PRS. This processing will always be fair and lawful and will at all times comply with the principles of applicable privacy laws in the UK. During the course of your application it may also be necessary for PRS or its suppliers to process your sensitive personal information. This processing will be carried out on the basis set out in bullet points 1 and 2 above, as well as your express consent which is captured as part of the Declaration forming part of this form. Schedule 1: Full list of information we may process Name, work and home contact details Date and place of birth Education and work history including skills and qualifications *Individual demographic information in compliance with legal requirements (such as marital status, national identifier, passport/visa information, nationality, citizenship, military service, disability, work permit or gender) *Health issues requiring adaptations to working environment Employment contract related information (including compensation, location, hours of work and so on) *Leaves of absence (such as maternity leave, sickness absence) Photograph(s) Disciplinary / grievance records Time and attendance details Bank account details for salary payment purposes Training history and plans Results of pre-employment screening, psychometric tests, behavioural assessments or technical assessments and any associated reports *Health & safety incidents, accidents at work and associated records [Audio recordings of telephone interviews and/or video recordings of interviews] Notes from face to face interviews

* These categories of information might potentially include some sensitive personal information.

APPENDIX II RIGHT TO WORK IN THE UK VALIDATION. All applicants, irrespective of their country of birth, must provide the one of the documents or document combinations outlined below, before employment commences. LIST A DOCUMENTS PROVIDING AN ONGOING EXCUSE 1 A passport showing that the holder, or a person named in the passport as the child of the holder, is a British citizen or a citizen of the UK and Colonies having the right of abode in the UK 2 A passport or national identity card showing that the holder, or a person named in the passport as the child of the holder, is a national of an European Economic Area (EEA) country or Switzerland 3 A residence permit, registration certificate or document certifying or indicating permanent residence issued by the Home Office (HO), Border and Immigration Agency (BIA) or UK Border Agency (UKBA) to a national of an EEA country or Switzerland 4 A permanent residence card or document issued by the HO, BIA or UKBA to the family member of a national of a EEA country or Switzerland 5 A Biometric Residence Permit issued by the UKBA to the holder which indicates that the person named in it is allowed to stay indefinitely in the UK, or has no time limit on their stay in the UK 6 A passport or other travel document endorsed to show that the holder is exempt from immigration control, is allowed to stay indefinitely in the UK, has the right of abode in the UK or has no time limit on their stay in the UK 7 An Immigration Status Document issued by the HO, the BIA or the UKBA to the holder with an endorsement indicating that the person named in it is allowed to stay indefinitely in the UK or has no time limit on their stay in the UK, together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) 8 A full birth or adoption certificate issued in the UK which includes the name(s) of at least one of the holder s parents, together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) 9 A full birth or adoption certificate issued in the Channel Islands, the Isle of Man or Ireland together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) 10 A certificate of registration or naturalisation as a British citizen together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) 11 A letter issued by the HO, BIA or UKBA to the holder which indicates that the person named in it is allowed to stay indefinitely in the UK, together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) OR LIST B DOCUMENTS WHICH PROVIDE AN EXCUSE FOR UP TO 12 MONTHS 1 A passport or other travel document endorsed to show that the holder is allowed to stay in the UK and is allowed to do the type of work you are offering 2 A Biometric Residence Permit issued by the UKBA to the holder which indicates that the person named in it can stay in the UK and is allowed to do the type of work you are offering 3 A residence card or document issued by the HO, BIA or UKBA to a family member of a national of a EEA country or Switzerland 4 A work permit or other approval to take employment issued by the HO, BIA or UKBA together with either a passport or travel document endorsed to show the holder is allowed to stay in the UK and is allowed to do the work you are offering or a letter issued by the HO, BIA or UKBA to the holder or you confirming the same 5 A Certificate of Application which is less than 6 months old, issued by the HO, BIA or UKBA to or for the family member of a national of an EEA country or Switzerland, stating the holder is allowed to take employment, together with a position verification letter from the UKBA s Employer Checking Service 6 An Application Registration Card (ARC) issued by the HO or BIA stating the holder is ALLOWED TO WORK or EMPLOYMENT PERMITED together with a positive verification letter from the UKBA Employer Checking Service 7 An Immigration Status Document issued by the HO, the BIA or the UKBA to the holder with an endorsement indicating that the person named on it can stay in the UK and is allowed to do the type of work you are offering together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) 8 A letter issued by the HO, BIA or the UKBA to the holder or to you as the potential employer or employer, which indicates that the person named in it can stay in the UK and is allowed to do the type of work you are offering, together with an official document issued by a previous employer or Government agency with the person s name and NI number (P45, P60, NI card or letter from a Government agency) DOCUMENTS THAT DO NOT PROVIDE EVIDENCE OF ENTITLEMENT TO WORK IN THE UK A Home Office standard acknowledgement letter (SAL) or Immigration Service letter (IS96W) which states that an asylum seeker can work in the UK. If you are presented with these documents then you should advise the applicant to call the UKBA on 0151 237 6375 for information on how to apply for an application card. A temporary National Insurance Number beginning with TN, or any number which ends with the letters from E to Z inclusive. A permanent National Insurance Number when presented in isolation. A driving licence issued by the DVLA. A bill issued by a financial institution or a utility company. A passport describing the holder as a British Dependant Territories Citizen, which states that the holder has a connection with Gibraltar. A short (abbreviated) birth certificate issued in the UK, which does not have detail of at least one of the holder s parents. A licence provided by the Security Industry Authority. A document check by the Criminal Records Bureau. A card or certificate issued by the Inland Revenue under the Construction Industry Scheme.