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    Please give details of the position held in connection with reference:

    Please provide the name and contact details of a second reference who is not related to you, who we can approach for a confidential assessment of your suitability for this job:

    Please provide details of all of the organisations for which you have worked during your career since leaving school with an explanation of any gaps in employment:

    To the best of my knowledge and belief the statements made in this application are true and correct. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable for dismissal.

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