Combilift Job Application Form Personal DetailsName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone*Email* CV UploadIf you wish to upload a written CV, please upload in Word or PDF format only. Max. file size is 5MBAccepted file types: pdf, docx.Do you need a permit to work in the EU?yesnoDo you have your own transport?yesnoDo you hold a current Full Driving Licence?yesnoAre there conditions under which you cannot work?yesnoIf YES, please give details:Have you record of serious or recurring illness, epilepsy, blackouts, etc?yesnoIf YES, please give details:If it is required at any time, that you undergo a medical examination by the Company Doctor, are you willing to do so?yesnoAre you allergic to any materials or substancesyesnoIf YES, please give details:Have you ever been convicted of a criminal offence?yesnoIf YES, please give details:Have you previously been employed by Combilift?yesnoIf YES, please give details:Have you any relatives employed by Combilift?yesnoIf YES, please give details:Can you work overtime when required?yesnoHave you any relevant skills, experience or qualifications?yesnoIf YES, please give details:SPECIALISED TRAININGDateCousre TitleTraining Provider HOBBIES / INTERESTS:EMPLOYMENT HISTORYCurrent/Last Employer:Type of Business:AddressPosition Held/Duties Performed:Date Started:Date Finished:Salary:Reason for Leaving:Name of Manager:Employer:Type of Business:AddressPosition Held/Duties Performed:Date Started:Date Finished:Salary:Reason for Leaving:Name of Manager:REFEREESOne must be a previous employer (if you have not been previously employed, please give details of two people who will give you a personal reference).Name:Position: I certify that the foregoing is a list of my last three employers. I agree that Combilift and its servants and agents are at liberty to contact all or any such former employers for references about me. I declare that the above information is complete and accurate. I understand that deliberate omissions or false or misleading information may lead to termination of any employment undertaken.* I Agree Personal Data Usage*I hereby freely give Combilift consent to process my personal data relating to my job application. I also give consent for my data to be held on file for a period of 18 months, with a view to consideration for any suitable positions within the company. I understand I can revoke my consent at any time by contacting Combilift. yesno This iframe contains the logic required to handle Ajax powered Gravity Forms.