Here is the document - if you paste it into word the formatting should work OK. I also have a clause in the AP contract itself which gives me the right to enter their room and/or contact their next of kin if I have a suspicion of illegal drug taking.
Required Information
Please complete and sign the following:-
Permanent Address in Home Country
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Passport
Date issued ??????????..
Passport number ??????????..
Full name ??????????..
Date of birth ??????????..
Driving Licence
Date issued ??????????..
Licence number ??????????..
Please list, with dates and details, any accidents, fines and endorsements
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Drugs
Please indicate whether you have ever used any of the following
Heroin Yes/No
Crack Cocaine Yes/No
LSD Yes/No
Ketamine Yes/No
Gamma hydroxybutyrate (GHB) Yes/No
Police
Have you ever been arrested, charged, or cautioned? If so please provide full details
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Previous Employment
Has an employer ever dismissed you for misconduct of any kind? If so please provide full details
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Medication
Do you have any medical conditions which may affect your ability to perform your work, or which we need to know about in order to advise health workers in the event of a medical emergency? If so, please provide details.
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Next of Kin
Please provide contact details of your parents and any other key persons, so that we can alert them in the event of an emergency
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Signature:
I declare that the information given above is true
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