Declaration: PLEASE READ CAREFULLY BEFORE SENDING THIS DOCUMENT.
1. I Confirm that the above information is complete and correct and that any untrue or
misleading information will give my employer the right to terminate any employment
contract offered.
2. Should we require further information and wish to contact your doctor with a view to obtain a
medical report, the law requires us to inform you of our intention and obtain your permission
prior to contacting your doctor. I agree that the organisation reserves the right to require me
to undergo a medical examination. In addition, I agree that this information will be retained in
my personnel file during employment and for up to six years thereafter and understand that
information will be processed in accordance to the data protection act.
By clicking on the submit button you therefor agree to these terms above.