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Job Application Form

Vacancy Title & Reference
Please tell us how you heard about this vacancy
1. Personal Details
Name
First Last
Address
Street Address Address Line 2 City County / State / Region Post Code Country
- Home Telephone No.
- Mobile No.
Email address
National Insurance No.
Do you have the legal right to work in the UK?
- Yes
- No
You will be required to provide appropriate documentary evidence of your legal right at interview, this will be either: Your EU Passport or Non-UK/EU Passport, plus appropriate Visa or work permit.
Driving Licence (if relevant to postapplied for)
Do you hold a full, clean driving licence valid in the UK?
- Yes
- No
If no, please give details below
Do you own a car or have access to one?
- Yes
- No
You will be responsible for ensuring that you have the necessary vehicle insurance for use on business (if relevant to post)
Have you previously been invited for an interview with, or employed by PharmaVentures?
- Yes
- No
If yes, please state position(s) applied for/held:
2. Education/Qualifications
Education
School (16+) Study Dates Qualification and Grade Date Obtained
Education
College/University Study Dates Qualification and Grade Date Obtained
Training & Development
Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application.
Education
Training Course Course Details (including length of course/nature of training)
Current Membership of any Professional Body/Organisation
3. Employment History
Please include any previous experience (paid or unpaid), starting with the most recent first. Current or Most Recent Employer
Name of employer
Position Held
Date Started
MM slash DD slash YYYY
Reason for leaving
Current Salary& Benefits / or on leaving this post
Notice Period or Leaving Date (if no longer employed)
Previous Employer
Name of employer
Position Held
Date Started
MM slash DD slash YYYY
Reason for leaving
Salary & Benefits on leaving this post
Notice Period or Leaving Date (if no longer employed)
Previous Employer
Name of employer
Position Held
Date Started
MM slash DD slash YYYY
Reason for leaving
Salary & Benefits on leaving this post
Notice Period or Leaving Date (if no longer employed)
4. Why PharmaVentures?
Skills, abilities and experience
What attracted you to this position at PharmaVentures and what attributes do you think would make you a successful applicant. Feel free to include all relevant information through examples and case studies, whether obtained through formal employment or voluntary/leisure activities. Attach and label any additional sheets used.
5.Convictions/Disqualifications
Upon offer of employment we reserve the right torequest a Criminal Records Bureau Disclosure at Standard level and this disclosure will include details of cautions, reprimands or final warnings as well as convictions.
6. References
Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. References will not be taken up until an applicant has been provided with an offer of employment.
- Reference 1
- Name
- Job Title
- Organisation
- Address
  Street Address Address Line 2 City County / State / Region Post Code Country
- Contact No.
- Email
- How is this person known to you?
- Do you wish to be consulted before this referee is approached?
  - Yes
  - No
  We reserve the right to contact any of your other previous employers within the last three years
- Reference 2
- Name
- Job Title
- Organisation
- Address
  Street Address Address Line 2 City County / State / Region Post Code Country
- Contact No.
- Email
- How is this person known to you?
- Do you wish to be consulted before this referee is approached?
  - Yes
  - No
  We reserve the right to contact any of your other previous employers within the last three years
7. Declaration
Statement to be Signed by the Applicant
Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.
Agreement to use my data:
I hereby freely give PharmaVentures Ltd consent to use and process my personal data relating to my potential employment. For more information, visit our Privacy page.
In giving my consent:
I understand that I can ask to see this data to check its accuracy at any time via a subject access request.
I understand that I can ask for a copy of the personal data held about me at any time, and that this request is free of charge
I understand that I can request that data that is no longer required to be held can be removed from my file and destroyed.
- Signature
- Date
  MM slash DD slash YYYY
Candidates selected for interview will normally be notified within four weeks of the closing date.
If you return this form by email, you will be asked to sign your application at interview.
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Agreement to use my data Agreement to use my data I consent to PharmaVentures Ltd collecting and storing the contact details I have provided in this form. I consent to PharmaVentures Ltd processing my data for legitimate business purposes permitted under GDPR using the details I have provided.

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PharmaVentures Capital Ltd is a wholly owned subsidiary of PharmaVentures Ltd. All regulated activities are delivered through PharmaVentures Capital Ltd, which is authorised and regulated by the Financial Conduct Authority (741356). Registered office address: c/o Critchleys LLP, Beaver House, 3-38 Hythe Bridge Street, Oxford OX1 2EP, United Kingdom.

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