EDWARD B. BEHARRY & COMPANY TRINIDAD LIMITED

APPLICATION FOR EMPLOYMENT FORM                                      

Please fill out clearly and legibly in BLOCK LETTERS

WHAT POSITION ARE YOU APPLYING FOR?:________________________________________________________________________________

SURNAME: _____________________FIRST NAME: _______________MIDDLE NAME: _______________

FULL ADDRESS: ____________________________________________________________________________

__________________________________________________________________________________________

TEL: (home) __________________       TEL: (work) _________________   CELL: ________________    

EMAIL: ________________________________

AGE: _____________________                        Date of Birth: ____________________________________

SINGLE/MARRIED/DIVORCED/WIDOWED: ____________________________

NO. OF CHILDREN: ________________________

FOR EMERGENCY PURPOSES:                     OCCUPATION                   TEL. # & ADDRESS

FATHER’S NAME: ____________________   _________________          __________________________

MOTHER’S NAME: ___________________      ________________          __________________________

SPOUSE’S NAME: ___________________     _________________         __________________________

ANY OTHER CONTACT: _______________   _________________         __________________________

EMPLOYMENT HISTORY (last four jobs starting with the most current one)

EDUCATION: (START WITH MOST CURRENT)

DO YOU HAVE A DRIVER’S LICENCE? _____________

If YES, please state DP#__________ Class #__________ and Expiry Date___________________

(NOTE:  All Applications for positions of Drivers or Salesman/Driver’s must be accompanied by a photo-copy of your valid permit)

What is your career goal or Ambition? __________________________________________

What are  your hobbies / interests?________________           Do you smoke? _______________

ID or Passport # (must include a photo-copy)   ________________________________________  

Your N.I.S. # ___________________________________________________

Your PAYE File #___________________________________________

Have you ever been charged of any offence by the Police? (If yes, please specify) ____________________________________________________________________________

NOTE:      You will be asked to submit the names of three references and may be asked for a Police Certificate of Character.

I understand that I must be a National or legal resident of T&T to work with EBBTT and that proof of this may be required.  I also understand that one of the conditions of employment with EBBTT is that all salaries and wages are sent directly to employees’ bank accounts and therefore, if selected, I will need to supply this information.  I can confirm that to the best of my knowledge all information provided is correct and I accept that by providing deliberately false or misleading information to the Company can result in my immediate dismissal.

SIGNATURE OF APPLICANT: _______________________________________________

DATE: ___________