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Form Code Pasted Below:

Please enter your recent employment history (including periods of unemployment and education) into our History Form.

(If you can't recall the exact day(s) it is fine to enter the 1st of the month, but Month/ Year need to be accurate)

<label> First Name
    [text* your-name] </label>

<label> Last Name
    [text* last-name] </label>

<label> Email Address
    [email* your-email] </label>

<use_label_element>  Date From
   [select* month-142 "January" "February" "March" "April" "May" "June" "July" "August" "September" "October" "November" "December"] [select* year-142 "2022" "2021" "2020" "2019" "2018" "2017" "2016" "2015" "2014" "2013" "2012" "2011" "2010" "2009" "2008" "2007"] </use_label_element>

<use_label_element>  Date To
    [select* month-142 "January" "February" "March" "April" "May" "June" "July" "August" "September" "October" "November" "December"] [select* year-142 "2022" "2021" "2020" "2019" "2018" "2017" "2016" "2015" "2014" "2013" "2012" "2011" "2010" "2009" "2008" "2007"] </use_label_element>

<use_label_element>  What were you doing during this period?
    [select* employement-950 include_blank "I was employed" "I was self-employed" "I was unemployed" "I was in full time education" "I was on a career break"] </use_label_element>

[group Iwasemployed]

<label>  What was the name of the organisation which employed you?
 [text* text-221] </label>

<label>  What was your job title?
 [text* text-222] </label>

<label>  Who can we approach for a reference? E.g. your line manager
 [text* text-223] </label>

<label>  What is their email address?
 [text* text-224] </label>

<label>  What is their mobile number?
 [text* text-225] </label>

<use_label_element>  I allow AMA to verify this reference
  [acceptance acceptance-631] </use_label_element>

[/group]

[group Iwasselfemployed]

<label>  What type of self-employed work did you undertake?
 [text* text-226] </label>

<label>  What was your job title?
 [text* text-227] </label>

<label>  Who can we approach to verify this time period? E.g. your accountant, a supplier or customer
 [text* text-228] </label>

<label>  What is their email address?
 [text* text-229] </label>

<label>  What is their mobile number?
 [text* text-230] </label>

<use_label_element>  I allow AMA to verify this reference
  [acceptance acceptance-631] </use_label_element>

[/group]

[group Iwasunemployed]

<label>  Who can we approach to verify this time period? E.g. someone known to you who is not a relativer
 [text* text-231] </label>

<label>  What is their email address?
 [text* text-232] </label>

<label>  What is their mobile number?
 [text* text-233] </label>

<use_label_element>  I allow AMA to verify this reference
  [acceptance acceptance-631] </use_label_element>

[/group]

[group Iwasinfulltimeeducation]

<label>  What was the name of the college/ university at which you studied?
 [text* text-234] </label>

<label>  Who can approach to verify this time period? E.g. your tutor, lecturer or course administrator
 [text* text-235] </label>

<label>  What is their email address?
 [text* text-236] </label>

<label>  What is their mobile number?
 [text* text-237] </label>

<use_label_element>  I allow AMA to verify this reference
  [acceptance acceptance-631] </use_label_element>

[/group]

[group Iwasoncareerbreak]

<label>  Who can we approach to verify this time period? E.g. someone known to you who is not a relativer
 [text* text-238] </label>

<label>  What is their email address?
 [text* text-239] </label>

<label>  What is their mobile number?
 [text* text-240] </label>

<use_label_element>  I allow AMA to verify this reference
  [acceptance acceptance-631] </use_label_element>

[/group]

<label> Upload “passport style” / head shot photo (this can just be a selfie taken on your mobile phone)
 [file* file-594] </label> 

<label> Upload Proof of address – E.g. full UK driving licence (not provisional), bank statement, gas/ electric/ water/ landline telephone bill (not a mobile) dated within 3 months or your most recent council tax bill.
 [file* file-594] </label> 

<label> Upload Proof of National Insurance – E.g. payslip, P45, P60 or NI card. Your NI number is also typically on letters from HMRC and any correspondence concerning benefits.
 [file* file-594] </label> 

<label> Upload Proof of your right to work in the UK – e.g. right to work share code, UK passport, UK birth certificate
 [file* file-594] </label> 

<label> Upload SIA Door Supervisor licence (back)
 [file* file-594] </label> 

<label> Upload SIA Door Supervisor licence (front)
 [file* file-594] </label> 

[submit "Submit"]

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