BICC_DEVELOPER_ APP_FORM_CS

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RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
United Kingdom Hydrographic Office
Application for an externally advertised position
11. POSITION
Job title and grade/ Civil Service
Grade
Business Intelligence Competency Centre (BICC) Developer – JVB
B2
Applicants for this role must be current Civil Service employees
Division and Branch
Closing Date for application
Finance
Wednesday 12th November 2014 at midnight
2. PERSONAL DETAILS
Surname
Title
Forenames(s)
Nationality
Communication Address
Telephone
Mobile
E-mail
Availability for interview
Notice period
Where did you see this
position advertised
Do you consider yourself to
have a disability
If yes, please ensure that you have completed the Equal Opportunities – Recruitment
Questionnaire which is enclosed with this application form. We welcome applications from
disabled people and value their contribution within the workplace. We recognise that to
compete on equal terms some disabled people may have additional requirements. Please
state here any special arrangements which you require for the interview:
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
3. EDUCATION DETAILS
Please provide details of the secondary level schools attended.
Name
Address
Date
EDUCATIONAL CERTIFICATES
Please give details of all educational examinations you have taken. Please also give details of any examinations you are
about to take or have taken but for which results are not yet known.
Exam Level
Subject taken and mark obtained
Exam Board
Date
FURTHER EDUCATION
Please give details of any further academic, professional or technical qualifications held by you, giving the dates and name
and address of place obtained.
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
EMPLOYMENT DETAILS
CURRENT EMPLOYER
Please give details of your current employer
Name and full address
Position held and nature of duties
Dates
Current Salary
PREVIOUS EMPLOYMENT
Please give details of previous employment since leaving education.
You should include any service in the armed forces, apprenticeships and account for any periods of unemployment.
If more space is needed please continue on a separate sheet.
Name and full address
Position held and nature of duties
PROTECT – STAFF
Dates and reason for leaving
PROTECT – STAFF
(when completed)
RF 22
Issue 3
July 14
JOB SPECIFIC INFORMATION
Please provide evidence that you meet each of the essential skills/experience and Civil Service Competencies detailed in the
job advert/job information sheet, this should include specific examples of your experience.
This information will be used to select applicants for interview.
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
OTHER DETAILS
Are you currently being considered or have been previously considered for a civil service appointment?
Y
/
N
If so please give details:
If you have served in HM Forces please complete the following:
Which Service
Rank or Rating and Service number
Corps/ Reg’t/ Branch
Dates of service
Details of any decorations or awards
DECLARATION
YOU MUST SIGN AND DATE THIS FORM.
I declare that to the best of my knowledge, the information given is correct.
Signature and Date:
If you give details which you know to be false, you will be liable for disqualification.
Completed application forms should be returned to: Human Resources, UK Hydrographic Office, Admiralty Way, Taunton,
Somerset, TA1 2DN or recruitment@ukho.gov.uk by Wednesday 12th November 2014 at midnight. PLEASE ENSURE
YOU ATTACH CURRICULUM VITAE IN SUPPORT OF YOUR APPLICATION.
Forms received after this date will NOT be processed.
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
GUARANTEED INTERVIEW SCHEME
We guarantee to interview anyone with a disability whose application meets the minimum
criteria for the post. By ‘minimum criteria’ we mean that you must provide us with evidence in your
application form which demonstrates that you generally meet the level of competence required for
each competence, as well as meeting any of the qualifications, skills or experience defined as
essential. The UKHO is committed to the employment and career development of disabled people
(the minimum criteria means the essential competences as set out in the advertisement for the
post).
To demonstrate this we use the Disability Symbol awarded by the Employment Service.
What do we mean by disability?
The Disability Discrimination Act, 1995 defines a disabled person as someone who has a physical or
mental impairment which has a substantial and adverse long-term effect on his or her ability to carry
out normal day-to-day activities.
How do I apply?
Simply complete the declaration below and send it in with the main application form.
Please let us know if there are any special arrangements you need for your interview:
We will try to provide access, equipment or other practical support to ensure that if you have a disability
you can compete on equal terms with non-disabled people.
DECLARATION
I consider myself to have a disability as defined above and I would like to apply under the Guaranteed
Interview Scheme.
Name:
Date:
Signature:
Please return the completed form with your application form, using a sealed envelope if you
prefer, marking ‘GIS’ and firmly attaching to the application.
ANY
FALSE DECLARATION OF DISABILITY TO OBTAIN AN
SUBSEQUENTLY INVALIDATE ANY OFFER OF A POST
PROTECT – STAFF
INTERVIEW
WILL
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
PROTECT – PERSONAL DATA (ON COMPLETION)
THE UNITED KINGDOM HYDROGRAPHIC OFFICE (UKHO)
NATIONALITY - RECRUITMENT QUESTIONNAIRE
Please ensure that this form is completed and returned with your application form.
information given will be treated in confidence. Thank you for your co-operation.
All
FULL NAME......................................................................................................................
POST FOR WHICH YOU HAVE APPLIED......................................................................…….
Nationality at Birth: …………………………………………………….…………………..
Present Nationality: ………………………..…………………………….………………..
Have you ever possessed any other nationality or citizenship? YES
NO
If “Yes” please specify: …………………………..……………………………………….
Are you subject to immigration control? YES
NO
If “Yes” please specify: ………………………………………………….………………..
Are there any restrictions on your continued residence or employment in the United
Kingdom? YES
NO
If “YES” please specify: ………………………………………………………………….
Are you lawfully resident in the United Kingdom? YES
NO
Please Note: If you are appointed documentary evidence will be sought to confirm your
answers.
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
THE UNITED KINGDOM HYDROGRAPHIC OFFICE (UKHO)
EQUAL OPPORTUNITIES - RECRUITMENT QUESTIONNAIRE
The UKHO is an equal opportunities employer, fully committed to equal opportunity policies. We positively
welcome applications from suitably qualified individuals, irrespective of racial origin, age, sex or disability. So
that we can monitor the effectiveness of our policy, please complete this questionnaire and return it with your
application. All information given will be treated in confidence. Thank you for your co-operation.
FULL NAME.................................................................................... MALE
 FEMALE 
POST FOR WHICH YOU HAVE APPLIED.........................................................................…….
DATE OF BIRTH …………………………………….……………………………………………
PART A - DISABILITY
The UKHO is a user of the Employment Service Disability Symbol “Positive About Disabled People”. We offer
a Guaranteed Interview Scheme (GIS) for all disabled candidates. All disabled candidates will be offered an
interview provided they meet the essential criteria for the job. Any false declaration of disability to obtain an
interview will cause your application to be terminated or will invalidate your contract of employment.
To be eligible for the scheme:
a. you must have a disability which puts you at a substantial disadvantage in obtaining or keeping
employment; and
b. the disability must be likely to last at least 12 months.
Do you consider yourself to have such a disability?
If yes, please indicate the type(s) of disability:
HEARING
MOBILITY
Yes
No
LEARNING DIFFICULTIES
VISION
MANUAL DEXTERITY
MENTAL HANDICAP
SPEECH
RESPIRATORY/HEART
MENTAL ILLNESS
OTHER DISABILITY (PLEASE SPECIFY).............................................................……....
PART B – AGE GROUP
Please indicate your age group:
16 - 19
20 – 24
45 – 49
50 – 54
25 – 29
55 – 59
30 – 34
35 – 39
40 – 44
60+
PART C - ETHNIC ORIGIN
Please indicate your ethnic origin:
WHITE
BLACK - CARIBBEAN ORIGIN
BLACK - AFRICAN ORIGIN
BLACK - OTHER ORIGIN
ASIAN – INDIAN ORIGIN
ASIAN – PAKISTANI ORIGIN
ASIAN - BANGLADESHI ORIGIN
ASIAN - EAST AFRICAN ORIGIN
ASIAN - CHINESE ORIGIN
ASIAN - OTHER
OTHER (PLEASE SPECIFY)…………………………………………
PROTECT – STAFF
RF 22
PROTECT – STAFF
(when completed)
Issue 3
July 14
PART D – SEXUAL ORIENTATION
What of the following describes your sexual orientation?
BI-SEXUAL
GAY
HETEROSEXUAL
LESBIAN
PREFER NOT TO DISCLOSE
PART E – MARITAL STATUS / CIVIL PARTNERSHIP
MARRIED
SINGLE
DIVORCED
OTHER
PREFER NOT TO DISCLOSE
PART F – RELIGION & PHILOSOPHICAL BELIEF
CHRISTIAN
BUDDHIST
HINDU
JEWISH
MUSLIM
SIKH
NONE
PREFER NOT TO DISCLOSE
Other (please specify)…………………………………………
PROTECT – STAFF
OTHER
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