Name

Title*

First Name*

Surname*

Other Initials


(*) Mandatory

Address

House Number*

Road Name*

Town*

County

Country*

Post Code


(*) Mandatory

Contact

Contact Telephone*

Other Telephone

Email*

Comments


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Monitoring Form

Our company strives to be an Equal Opportunities Employer. We do not discriminate on grounds of religious belief or political opinion. We practice equality of opportunity in employment and select the best person for the job.

To demonstrate our commitment to equality of opportunity in employment we need to monitor the community background of our employees as required by the Fair Employment Act 1989

Regardless of whether we practice our religion, most of us in Northern Ireland are seen as either Catholic or Protestant. We are therefore asking you to indicate your community background by ticking the appropriate box below.

I am a member of the Protestant community
I am a member of the Catholic community
I am a member of neither the Protestant or Catholic community
I decline to answer the question


Could you please indicate whether you are:

Male
Female

Note:It is not compulsory for you to answer the above questions. However, we would stress that it is a criminal offence under the legislation for a person to "give false information in connection with the preparation of a monitoring return".


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