APPLICATION FORM Lidl UK Version 04/10

Notes:
Please read the form carefully before completing and use capitals.

Position applied for: Location (Town/Store):

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

Forenames (in full): I am legally entitled to work in the UK Yes No

Personal Details

Home address: Over 18 years old? Yes No

Contact Number
Mobile telephone number: Home telephone number:
Postcode:

Note: Please start with most current employer. All sections must be completed
Dates (from / to): Employer name: Location: Position:

Duties / responsibilities:
Employment History

Dates (from / to): Employer name: Location: Position:

Duties / responsibilities:

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

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

hours per
week:

Days/hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday

available: AM PM AM PM AM PM AM PM AM PM AM PM AM PM

Please give any other information which you think would be helpful in considering your application
Other

Please provide all the requested details of two former employers whom we may contact for references if you are offered a position. Please note that all
offers of employment are subject to the receipt of references that are satisfactory to Lidl.
Contact name: Company name: Full address including postcode: Work Telephone number:

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

Have you been convicted of any criminal offences which are not yet spent under rehabilitation? Yes No

(Rehabilitation of Offenders Act 1974)

Data Protection
The information that you provide on this form and that is obtained from other relevant sources will be used to process your application. If you are
unsuccessful, the data will be stored for a maximum of 6 months. If you are successful, this application form will form part of your personnel record. If
you would like a copy of personal data held by Lidl UK, contact the Data Protection Officer, Lidl UK, 19 Worple Road, London, SW19 4JS.
Signature

Declaration
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 confirm that I am legally entitled to work in the UK, and will provide documentation to
evidence this if offered a position. By completing this form I am consenting for you to verify the information provided and to collect references.

Signed: Print: Date: (dd/mm/yyyy) / /