Background Information - Online Application Form Lidl UK 04/07

Note: Please read the application form carefully before completing and use capitals throughout in black or blue ball point pen
This form will be considered authority to undertake screening, vetting and third party references

Position applied for: Location (town / store):

Surname: Mr. / Mrs. / Miss. / Ms./ Other:

Personal Details

Forenames (in full): Date of birth:

National Insurance Number: Work Permit Required:

Home address: Home telephone number:

Mobile telephone number:

Postcode:

Note: Please start with most recent job. All sections must be completed
Dates (from / to): Employer name: Location: Position: Salary / hourly rate:

Duties / responsibilities: Reason for leaving:

Employment History

Dates (from / to): Employer name: Location: Position: Salary / hourly rate:

Duties / responsibilities: Reason for leaving:

Dates (from / to): Employer name: Location: Position: Salary / hourly rate:

Duties / responsibilities: Reason for leaving:

Education (include all additional qualifications): Result: Date achieved: Place of study:
Education

Do you have any relatives working for Lidl?: No Yes If Yes please specify:

Do you have any friends working for Lidl?: No Yes If Yes please specify:

Have you ever worked for Lidl?: No Yes If Yes please specify:
Other

Do you have any unspent criminal convictions? No Yes If Yes please specify:

Ideal hours per 0-10 11-20 21-30 30+ Comments:

week:
Days AM PM AM PM AM PM AM PM AM PM AM PM AM PM
Mon Tues Weds Thurs Fri Sat Sun
available:
Please give any other information which you think would be helpful in considering your application

Please provide all the requested details of two former employers whom we may contact for references. Please note that all offers of employment are subject to the receipt of
satisfactory references.
References

Contact name: Company name: Full address including postcode: Telephone number:

Contact name: Company name: Full address including postcode: Telephone number:
Signature

The information I have provided is correct to the best of my knowledge. I understand that providing false information may render my application liable to rejection or, if appointed, may
make me liable to dismissal. I also hereby agree that my personal details may be held and used for recruitment and employment purposes.

Signed: Date: