New Employee Details

CONFIDENTIAL

All information you provide on this application and its attachments will be treated as confidential by Fusion Networks.

The information is collected for the purpose of assessing your suitability for employment within Fusion Networks. The information you provide on this form will be collected and held by our HR team. If your application is successful, this information will be retained on your personal file. If you are not successful in your application, all the information provided to us in this recruitment process will be held for a period of 12 months and will then be appropriately destroyed.

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* 1. Your Details

Name

Position Applied for

Postal Address

Physical Address (If different from Postal)

City/Town

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Your Details

Date of Birth

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* 3. Start Date:

DD MM YYYY

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* 4. Next of Kin

Name

Contact Number

Relationship to you

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* 5. Do you suffer from any health issue(s) that we should be aware of?

Yes

If yes, please provide details

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* 6. Fusion T Shirt

Size

Preference - Polo or crew neck