Candidate Application

I agree to report to my Immediate supervisor or manager as soon as possible, by telephone if necessary, in any of the following circumstances.

1. Should I suffer from illness involving any of the following:
a. Vomiting
b. Diarrhoea
c. Septic skin lesions (boils, infected cuts, etc)
e. Hepatitis A
2. Before returning to work following an illness with the above conditions
3. Should any of my household be suffering from diarrhoea and/or vomiting
4. After returning from any holiday during which I suffered diarrhoea and/or vomiting
5. After returning from any holiday in which any of my party suffered diarrhoea and/or vomiting

I understand that I must complete a "Return from Holiday" form when I return from any foreign holiday.
I have read (had read to me) and received a copy of the "Personal Hygiene Standards" section of the 'manual'. I understand and agree to abide by those standards.

I understand and acknowledge that should I knowingly make a false statement regarding my medical history either in answering the above questions or to any medical examiner, or should I conceal wilfully any medical fact, I will if engaged be liable to have my contract terminated. In the event of any health queries I consent to my doctor supplying relevant Information to the Medial Examiner.

(I declare that the statements above are true and completed to the best of my knowledge. I understand that it is a disciplinary offence to give false information to the above questions and that I could make myself liable ii any incident arises as a result of any such false statement)