Application Form

This application form is available in other formats upon request. It is in 2 parts: part 1 contains personal
information and are confidential documents, which will only be seen by Human Resources part 2 relates
specifically to the post you are applyin! for and will be seen by those ma"in! selection decisions. Please
refer to the Guidance Note for information about completing the Application Form
Part 1 Personal Information
#ob$s% title
#ob$s% reference
number
&pplication reference number $for
'ritish (ouncil use only%
Human Resources ) &dmin *fficer
Eligibility to work at the British Council (see guidance notes)
&re you currently le!ally entitled to wor" in
the country where the +ob is based,
-es .o
If applicable, please detail any restrictions
Personal Contact details
/amily name 0alan Rayatullah Initials 0alan
1resent address
2p. 'o+on!neros 3esa.
1anoso!an 2ec. (i"eusal
2ab. 4eran! 1rov. 'anten
52167
(ontact postal or
email address
iila2n"8reatif9yahoo.co.id
Telephone no. :obile no. ;<1<;6=>?<?1@;<761=7=16>6
1lease state where you heard about this vacancy,
'ritish (ouncil collea!ue
Aord of mouth
4peculatively browsin! 'ritish (ouncil website
1ress@1ublication advert $please specify% BBBBB..
C Aeb advert $please specify% #ob4treet.com
&!ency $please specify% BBBBBBBB
*ther $please specify% BBBBBBBB
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Recruitment Team #une 2;11
References and additional information
Additional information
Ahen are you available to
ta"e up the +ob,
Ahat len!th of notice
must you !ive,
1lease !ive details of your current@most recent remuneration pac"a!e includin!
salary, pension and bonuses. (andidates will be as"ed for documentary
evidence of this if appointed.
References (see guidance notes)
1. -our current@most recent employer $or if no employer, your school@university@trainin! provider%.
.ame and +ob title
of referee
.ame of refereeDs
*r!anisation
1ostal address
Email
Telephone no :obile no
1lease indicate if this is a wor" or
academic@trainin! reference
Aor" reference &cademic@Trainin! reference
2. 1revious employer $or if no employer, your school@university@trainin! provider%.
.ame and +ob title
of referee
.ame of refereeDs
*r!anisation
1ostal address
Email
Telephone no :obile no
1lease indicate if this is a wor" reference or
an academic@trainin! reference
Aor" reference &cademic@Trainin! reference
?. 1revious employer $or if not applicable, a personal referee who "nows you well and who is not a
relative%.
.ame and +ob title
of referee
.ame of refereeDs
*r!anisation
1ostal address
Email
Telephone no :obile no
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Recruitment Team #une 2;11
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Recruitment Team #une 2;11
1lease indicate if this is a wor",
academic@ trainin! or personal
reference
Aor"
reference
&cademic@
Trainin!
reference
1ersonal
reference
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Recruitment Team #une 2;11
Criminal Conictions (see guidance notes)
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Recruitment Team #une 2;11
Have you ever been convicted of
a criminal offence,
-es .o
If yes, please !ive details below of the offence
and the sentence imposed:
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Recruitment Team #une 2;11
If you are applying for a !ob which clearly states inolement with children or young people" or a
teaching !ob" please additionally complete this section# As these positions are exempt from the
Rehabilitation of Offenders Act 19!" please detail belo# all con$ictions" cautions and bindo$ers" including
those regarded as %spent&'
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Recruitment Team #une 2;11
I declare that I have not been convicted, nor had any criminal proceedin!s a!ainst me, nor have I been
warned, either orally or in writin!, in relation to a seCual offence or child abuse. I declare that there are no
such proceedin!s pendin! a!ainst me at the date of this declaration. I "now of no reason why I should be
considered unsuitable for wor" with children, elderly or disabled people, and I have not been dismissed
from such a post for malpractice.
I agree and hereby consent to the British Council seeking clearance from the CRB or appropriate
agency# I understand that the British Council will not carry out these checks unless an offer of
employment is made in writing to me#
-our name 3ate
..' Typin! your name will be ta"en as bein! as bindin! as your si!nature
Part $ %ob&related Information
1lease note, this section of the form will be detached and !iven to the Recruitin! :ana!er and collea!ues
involved in the selection process. The Recruitin! :ana!er and the selection panels will have access only
to information contained in this section.
#ob$s% title
#ob$s% reference
number
&pplication reference number $for
'ritish (ouncil use only%
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Recruitment Team #une 2;11
Personal Information
/amily name Initials
'isability (see guidance notes)
3o you have a disability as defined in the !uidance note,
-es
.o
Re!ardless of whether you have a disability, do you require any ad+ustments to be made
to facilitate your participation in the selection process, If yes, a member of Human
Resources will contact you to ascertain how best to assist you.
-es
.o
Employment and releant work&related e(perience $coverin! no more than 1; years, startin! with the
most recent% (see guidance notes)
3ate /rom@To Role title, Employer
'rief summary of role and main achievements.
3ate /rom@To Role title, Employer
'rief summary of role and main achievements.
3ate /rom@To Role title, Employer
'rief summary of role and main achievements.
3ate /rom@To Role title, Employer
'rief summary of role and main achievements.
)ther releant e(perience (see guidance notes)
1lease !ive details of any additional releant professional or other eCperience.
Relevant eCperience 3ates
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Recruitment Team #une 2;11
Education*+ualifications (see guidance notes)
1lease !ive details of releant educational and professional qualifications in chronolo!ical order.
Fualifications 3ates
,upporting statement
In support of your application, and referrin! to the role profile, please state succinctly, why you are suitable
for this role, focusin! on the skills" knowledge and e(perience you brin! (see guidance notes)'

4upportin! statement
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Recruitment Team #une 2;11
'eclaration
I declare that all the information I have provided in support of my application is, to the best of my "nowled!e
and belief, correct and complete.
Aarnin!: if you include any details that you "now to be false or if you withhold relevant information, you
may render yourself liable to disqualification from the recruitment eCercise or, if appointed, to dismissal.
-our name 0alan Rayatullah 3ate 11);6)2;15
..' Typin! your name will be ta"en as bein! as bindin! as your si!nature
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Recruitment Team #une 2;11
Guidance .otes for completin! application form
Part 1 & Personal Information
This part of the application form will be "ept confidential and will only be seen by Human Resources.
Eligibility to work at the British Council
Ae are only able to accept applications from individuals who currently have the ri!ht to wor" in the country
to which they have applied. 4ome roles outside of the H2 require the +ob holder to be a H2 passport
holder. /or H2 based posts, to ensure compliance with the &sylum and Immi!ration &ct 1==>, we will need
proof before appointment to a post in the H2 that you are entitled to wor" there.
If there are any restrictions re!ardin! your ri!ht to wor" in the H2 i.e. len!th of wor" visa, type of wor" etc
please state it on the form.
'ata Protection
The 'ritish (ouncil will use the information you provide in this form to process your application. If your
application is successful and you ta"e up employment with the 'ritish (ouncil, this form will be "ept on your
personnel file and some details from it will be held electronically by Human Resources in line with the 3ata
1rotection &ct $1==<%. If your application is unsuccessful, this form will be "ept on file for one year after
completion of the recruitment eCercise and then securely destroyed.
The 'ritish (ouncil will treat all personal details in accordance with H2 law and its own privacy policy.
Hnder 3ata 1rotection law you have the ri!ht to as" for a copy of the information we hold on you, for which
we may char!e a fee, and the ri!ht to as" us to correct any inaccuracies in that information. If you do want
more information about this please contact your local 'ritish (ouncil office or the 3ata 1rotection Team
dataprotection9britishcouncil.or!.
Additional information and References
References
1lease provide ? references. *ne from your most current@most recent employer and if possible two from
previous employers. If you have no previous employer then please provide a reference from your
school@university@ trainin! provider and a personal reference from someone who "nows you well but is not a
relative. Ae will only contact referees if an offer of employment is made.
Criminal Conictions -./0
4ub+ect to certain eCempted occupations, convictions that are IspentD under the Rehabilitation of *ffenders
&ct 1=65 need not be mentioned. 1lease be aware that declarin! a conviction will not automatically
disqualify you from bein! employed unless this post is sub+ect to a (riminal Records 'ureau (hec".
If the post is sub+ect to a (riminal Records 'ureau (hec", 'ritish (ouncil is committed to safe!uardin! and
promotin! the welfare of children and youn! people and eCpects all of its partners to share this
commitment. &ppointment to these roles are sub+ect to enhanced (riminal Records 'ureau $(R'% chec"s
in the H2, and, where appropriate, equivalent systems overseas.
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Recruitment Team #une 2;11
Part $ & %ob&Related Information
'isability
The Hnited .ations (onvention on the Ri!hts of 3isabled 1eople defines a disabled person as someone
who has lon!)term physical, mental, intellectual or sensory impairments, which in interaction with various
barriers may hinder their full and effective participation in society on an equal basis with others.
It is 'ritish (ouncil policy to interview all applicants who are disabled and who meet the essential criteria for
an advertised +ob.
Employment and releant work&related e(perience
1lease !ive details of your wor")related eCperience coverin! no more than1; years, or since leavin! full)
time education if this is sooner, startin! with the most recent. Aor" related eCperience can include
voluntary wor" or other periods away from employment. It will not pre+udice your application if you disclose
a period out of formal employment $e.!. time spent at home brin!in! up children or a period of ill health%.
)ther releant e(perience
This can include eCperience of volunteerin!, periods of travel or of roles held within the community e.!.
youth or community wor"er etc.
Education * +ualifications
1lease list only those qualifications specified in or related to the requirements listed in the person
specification. If you have a qualification which is not directly relevant but which you feel demonstrates that
you have a s"ill which is important to the +ob please list this under *ther Relevant ECperience sayin! why
you thin" this is important.
,upporting ,tatement
The purpose of this section is to !ive you an opportunity to say why you are interested in the +ob and what
you would brin! to it. Ahen writin! your supportin! statement please refer to the role profile and lin" your
eCperience, qualifications and interests to the requirements. -our supportin! statement should be succint
and to the point. It will be used for shortlistin! so please ensure you hi!hli!ht the relevant s"ills,
"nowled!e, eCperience and qualifications you have relevant to the role. This can relate to information listed
earlier or you can !ive other eCamples.
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Recruitment Team #une 2;11