Unicomer (Jamaica) Limited

APPLICATION FOR EMPLOYMENT

Please complete all questions.
NAME IN FULL:

ALIAS (PET NAME):

MAIDEN NAME:
(If applicable)

PERMANENT ADDRESS:...

TELEPHONE NUMBER: Home:...Work:..Cell:......

CURRENT ADDRESS:
(If different from above)
..Tel. No...
DATE OF BIRTH:

NIS #:

TRN:

MARITAL STATUS:

POSITION APPLYING: Or..

SALARY EXPECTATIONS:...
ARE YOU ABLE TO WORK:
(A)

On Saturdays?

Yes

No

(B)

On Sundays?

Yes

No

(C)

Anywhere in Jamaica?

Yes

No

State area preferred:

..

EDUCATION
Institution Attended

Dates
(Month & Year)

From

To

Level & Course of Study

Grade

(CXC, OLevel/ALevel, Certificate, Diploma,

Degree or Professional Certification)

Details of present studies:

Spare time activities:

PREVIOUS EMPLOYMENT
Please give details of your previous employment starting with the most current.
No approach for a reference will be made to your present employer without your consent.

Dates

Company

(Month & Year)

From

To
Company Name:
Immediate Supervisor:
Tel #:
Address:

Total Annual Salary

Other Benefits

Position & Primary Responsibility

Position:
Responsibilities:

Reason for Leaving

$
Dates

Company

(Month & Year)

From

To
Company Name:
Immediate Supervisor:
Tel #:
Address:

Total Annual Salary

Other Benefits

Position & Primary Responsibility

Position:
Responsibilities:

Reason for Leaving

$
Dates

Company

(Month & Year)

From

To
Company Name:
Immediate Supervisor:
Tel #:
Address:

Total Annual Salary

Other Benefits

Position & Primary Responsibility

Position:
Responsibilities:

Reason for Leaving

$
Dates

Company

(Month & Year)

From

To
Company Name:
Immediate Supervisor:
Tel #:
Address:

Total Annual Salary

Other Benefits

Position & Primary Responsibility

Position:
Responsibilities:

Reason for Leaving

PERSONAL INFORMATION

Please complete all questions

Have you ever been convicted by a Court of Law, have had criminal
charges brought against you or currently have any pending?
Yes

No

If yes, please give details.

Have you ever held or have any Hire Purchase (HP) Account(s) with Unicomer
(Jamaica) Limited.
Yes

No

If yes, please give details:

ADDRESS
ACCOUNT NO(S).

(If different from current

Address)

BRANCH

Please note a Yes answer to any of the above does not automatically disqualify you
from holding a position at Unicomer (Jamaica) Limited.
Do you know / are you related to anyone at UNICOMER?

Yes

No

If yes, please state the name(s) of the person(s) and the branch he / she works:
NAME

BRANCH

RELATIONSHIP

ADDITIONAL INFORMATION
IN CASE OF AN EMERGENCY
Please complete in BLOCK CAPITALS.

YOUR NAME:

ADDRESS:

TELEPHONE No:

Home:..Work:....Cell:.......

AGE:

. SEX: ...

Next of Kin
NAME:

ADDRESS:

TELEPHONE No:

Home:..Work:....Cell:.......

RELATIONSHIP:

Contact Person (Not living with you)

NAME:

ADDRESS:

TELEPHONE No:

Home:..Work:....Cell:.......

RELATIONSHIP:

REFERENCES
Please supply the details of three (3) people who could recommend you.
1.

NAME:

ADDRESS:

TELEPHONE # :

Home:Work:

PLACE OF WORK: ...

2.

JOB TITLE:

NAME:

ADDRESS:

TELEPHONE # :

Home:Work:

PLACE OF WORK: ...

3.

JOB TITLE:

NAME:

ADDRESS:

TELEPHONE # :

Home:Work:

PLACE OF WORK: ...

JOB TITLE:

Any comments you wish to make? ..

Signature of Applicant: ..Date

This Application Form will become part of your Personnel Record.

It is an offence to falsify or misrepresent any information hereon.