Check the box below to confirm the following statement:
I Confirm that the information contained within this form is as accurate as possible, if any of the information in this form changes, I will undertake to inform the management team at GB-EMS at the earliest opportunity.
I understand that failure to complete this form in a truthful and accurate manner may lead to my application being denied and/or immediate disciplinary proceedings or dismissal from the company. I give permission for GB-EMS to obtain references prior to interview based on the information contained within this form.