(for example hearing loss, sensitivity to chemicals, occupational overuse, repetitive strain injuries or back injury/strain)
Referees
Please give the name, address and telephone number of at least two referees, preferably Managers that you reported to in previous roles, that we may contact to seek references in connection with your suitability for the position to which this application.
By supplying referees you are consenting to the Company seeking verbal or written information (on a confidential basis) about me from representatives of my previous employers and/or referees and authorize the information sought to be released by them to the Company for the purpose of determining my suitability for the position which I am applying for.