Name
Address
 Postcode
/ / / / Nat. ins. No.    D.O.B.   / /  
Home No     Mobile No
Unspent Criminal Convictions    YES   NO   (if yes, explain using notes below)

Nationality     Marital Status
Do you understand Tachograph Regulations    YES   NO  
Do you have a Digital Tachograph card    YES   NO  
How did you hear about Indigo      Own Transport    YES   NO  
Type of work required   Class I Class II 7.5t 3.5t
Van Forklift Warehouse Mate

Employment History  (2 years required)
 to   Time there from  Name of Employer
Address

Contact
Comments
Reason for leaving

 to   Time there from  Name of Employer
Address

Contact
Comments
Reason for leaving

 to   Time there from  Name of Employer
Address

Contact
Comments
Reason for leaving

Anything else, not noted, that you should inform Indigo Staffing as your prospectiove employer


Please list any certificates currently held. (i.e. hiab, manual handling, forklift etc.)



I confirm that all the information given, either above, or in any other documentation supplied to Indigo Staffing, is correct at the time I date that document. I adhere to update any information that may supersede the information that is given also.

If I receive further criminal convictions, motoring or otherwise, I will inform my employer, Indigo Staffing as soon as possible.

I also confirm that I have read the Indigo Staffing Limited Terms and Conditions for Temporary Workers ("Terms of Engagement") and agree to all its terms.