TNAG-0702-FCO40-855-Appointment-of-Attorney-General-and-Solicitor-General-in-Hon-1978 — Page 77

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SECTION VI EMPLOYMENT RECORD

Give below full details of all employment in date order, since starting work. Include any apprenticeship, articled service, Forces service (give rank and number) and any periods of unemployment or self-employment.

Date

Name and full address

of employer and name of

Title of position held, duties and responsibilities

Month

Year

immediate superior

1. From

To

2. From

To

3. From

To

4. From

To

5. From

To

6. From

To

Give here names of employers to whom you do NOT wish reference made at this stage, and give the reason:-

Annual rate of pay in present (or last) employment

Reason for leaving employer

If offered an appointment, how soon after notification of your selection could you leave to take up your duties?

SECTION VII DECLARATION TO BE SIGNED BY THE APPLICANT

I hereby certify that the information given by me on this form is to the best of my knowledge correct. I am not aware of any circumstances which, if disclosed, might cause my fitness in any respect for employment to be questioned. I understand that any wilful misstatement renders me liable to disqualification or to instant dismissal if engaged.

I understand and accept that my application is subject to the conditions described in this form, and agree that the Hong Kong Government may approach the referees and employers named herein.

Signature of applicant

Date