0 Title Mr Mrs Miss Ms Dr Name * First Name Last Name Email Address * Phone Number * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Checkbox Tick this box to receive emails about special offers and discounts

0 PERSONAL Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Are you legally eligible for employment in the UK? * Yes No Do you have a current driving license? * Yes No Do you hold a clean driving license? * Yes No If NO please give details *Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974? * Yes No Do you smoke? * Yes No EMPLOYMENT Position applying for Pay expected * Willing to work full time? Yes No If part-time, please state days/hours Have you previously worked for Knights Garden Centres? * Yes No If YES, when? What is you availability to start work? * If offered this position, will you continue to work in any other capacity? * Yes No Do you suffer from any illness or disability which might affect your work? * Yes No If YES please give details: PRESENT (OR MOST RECENT EMPLOYMENT) Name of Employer * Address of Employer * Employed as: * Salary: * Joined Date * MM DD YYYY Left Date * MM DD YYYY Duties and areas of responsibility: * Reason for leaving/Seeking alternative employment * Notice Required * REFERENCES Referee 1 (Please include name, position, address, email address, contact number) Referee 2 (Please include name, position, address, email address, contact number) PAST EMPLOYMENT (WORK BACKWARDS FROM PRESENT/MOST RECENT EMPLOYER) Name and Address of Employer: Employed as: Salary: Joined Date: MM DD YYYY Left Date: MM DD YYYY Reason for Leaving: Name and Address of Employer: Employed as: Salary: Joined Date: MM DD YYYY Left Date: MM DD YYYY Reason for Leaving: Name and Address of Employer: Employed as: Salary: Joined Date: MM DD YYYY Left Date: MM DD YYYY Reason for Leaving: SECONDARY EDUCATION (PLEASE GIVE DETAILS OF YOUR EDUCATION SINCE AGE 11) Full Name and Address of School: * Please give details of exams sat/subjects/results and year taken Further Education/College/University: Please give details of courses/qualifications obtained/year taken REFERENCES: References are normally taken up with your most recent employers or school/college where appropriate. It is essential that the appropriate full names and addresses have been given in the preceding sections. Any offer of employment is subject to the receipt of satisfactory references and a three month trial period. DECLARATION: By checking the box below, I confirm that the information I have given in this application is to the best of my knowledge , true and complete. I understand that the Company reserves the right to withdraw any offer of employment, or to terminate any employment already commenced if the information given by me is inaccurate or misleading in any way. I confirm the above