Reflex Job Application Form Please complete this form in full if you wish to be considered for any of our current vacancies. Name: Address 1: Address 2: Town: County: Postcode: Home Phone Number: Mobile Number: E-mail: 1. Date of Birth. 123456 789101112 1314151617 1819202122 2324252627 28293031 JanuaryFebruaryMarchApril MayJuneJulyAugust SeptemberOctoberNovemberDecember 1989198819871986 1985198419831982 1981198019791978 1977197619751974 1973197219711970 1969196819671966 1965196419631962 1961196019591958 1957195619551954 1953195219511950 1949194819471946 1945194419431942 19411940 2. Marital Status Single Married Co-habiting 3. Do you have any children? Yes No 4. Are you working at the moment? Yes No 5. If 'Yes' please describe briefly what you do and what your responsibilities are. 6. If you are not working, what are you currently doing? 7. What is your current basic salary or what was the basic salary in your last job? up to £10,000 £10,001 - £12,000£12,001 - £14,000£14,001 - £16,000 £16,001 - £18,000£18,001 - £20,000£20,001 + 8. How do you plan to travel to work? Car Public Transport We welcome any other comments you wish to add.

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Reflex Office Products Ltd
Unit 11, Barratt Way Industrial Estate, Tudor Rd, Harrow, Middlesex HA3 5TJ
Phone 020 8427 8888 - Copyright © 2005 Reflex Office Products Ltd

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