Stocktaking.ie Employee Form

First Name:

Last Name:

Email Address:

Date of Birth:

Address:

Town:

County of residence?
Antrim Co.Armagh Co.Carlow Co.Cavan CoClare Co.Cork Co.Derry Co.Donegal Co.Down Co.Dublin Co.Fermanagh Co.Galway Co.Kerry Co.Kildare Co.Kilkenny Co.Laois Co.Leitrim Co.Limerick Co.Longford Co.Louth Co.Mayo Co.Meath Co.Monaghan Co.Offaly Co.Roscommon Co.Sligo Co.Tipperary Co.Tyrone Co.Waterford Co.Westmeath Co.Wexford Co.Wicklow Co.

Mobile Number:

PPS:

Next of Kin Name:

Next of Kin Phone Number:

Medical Card:
YesNo

Driving Licence:
YesNo

IBAN:

BIC:

In compliance with GDPR I consent to have photographs taken and for them to be used on social media/marketing.
YesNo

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I also confirm that I have read and understood all five of the above documents.
Yes

Please leave this field empty.