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Additional Skills Please use the space below to explain why you have applied for this vacancy. You should include details of your experience, skills and personal qualities that you can bring to this role.

EMPLOYER 1

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EMPLOYER 2

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If you are successfully appointed to the post applied for at Ndima Healthcare, do you intend to continue with other employment?

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Due to the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders 1974 (Exceptions) Order 1975. This means that convictions that are ‘spent’ under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application. Please read the above carefully and then answer the following questions:

Have you ever been convicted of a criminal offence?

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To your knowledge, are you currently the subject of any criminal proceedings or any police investigation?

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Data Protection: Ndima Healthcare LTD Privacy Statement is available on our website (www.ndimahealthcare.co.uk) or a copy can be requested from the Human Resources Department. Please confirm you have accessed the Ndima Healthcare Privacy Statement and you have read, understood and agree to all the terms stated.

I declare that the information given in this application is to the best of my knowledge, complete and correct. I accept that should any statement made by me in connection with this application be found to be false, incomplete or misleading then the application shall be void and consequently, Ndima Healthcare Ltd may terminate any contract arising at any time.

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