eu.safescreening.co.uk Open in urlscan Pro
35.177.183.84  Public Scan

URL: https://eu.safescreening.co.uk/r/70977422-7cd4-4696-9887-a7f3406cc3d5/
Submission: On October 23 via manual from CA — Scanned from GB

Form analysis 3 forms found in the DOM

POST

<form class="disable_after_click" method="post" action=""><input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
  <input type="hidden" name="form-TOTAL_FORMS" value="1" id="id_form-TOTAL_FORMS"><input type="hidden" name="form-INITIAL_FORMS" value="1" id="id_form-INITIAL_FORMS"><input type="hidden" name="form-MIN_NUM_FORMS" value="0"
    id="id_form-MIN_NUM_FORMS"><input type="hidden" name="form-MAX_NUM_FORMS" value="1000" id="id_form-MAX_NUM_FORMS">
  <h2 class="mt-3"> Positions </h2>
  <div class="alert alert-info">
    <p>You have been asked to verify the following information supplied by <em>Michelle Banda</em>. </p>
    <p> If this information is correct please click ‘Confirm Reference’. If you wish to amend the claim please do so prior to confirming in order to submit the altered information. If you are unable to provide a reference, please decline the request
      detailing the reasons why at the bottom of this page. </p>
  </div>
  <div class="card">
    <div class="card-header">
      <h3>Thickwood Sobeys<span class="pull-right">#1</span></h3>
      <h5>Administration</h5>
    </div>
    <div class="card-body mx-2">
      <input type="hidden" name="form-0-id" value="4015093" id="id_form-0-id">
      <input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
      <div class="row"> <label class="col-sm-12 col-md-3 col-lg-2 pt-0-5"> Start date </label>
        <div class="col-sm-12 col-md-6 col-lg-4"> 15 Aug 2023 </div>
        <div id="div_id_form-0-corrected_start_date" class="form-group"> <label for="id_form-0-corrected_start_date_day" class="form-control-label sr-only hidden-xs-upsr-only hidden-xs-up"> Start Date </label>
          <div class="col-sm-12 col-md-6 col-lg-4"> <select name="form-0-corrected_start_date_day" id="id_form-0-corrected_start_date_day" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="1">1</option>
              <option value="2">2</option>
              <option value="3">3</option>
              <option value="4">4</option>
              <option value="5">5</option>
              <option value="6">6</option>
              <option value="7">7</option>
              <option value="8">8</option>
              <option value="9">9</option>
              <option value="10">10</option>
              <option value="11">11</option>
              <option value="12">12</option>
              <option value="13">13</option>
              <option value="14">14</option>
              <option value="15">15</option>
              <option value="16">16</option>
              <option value="17">17</option>
              <option value="18">18</option>
              <option value="19">19</option>
              <option value="20">20</option>
              <option value="21">21</option>
              <option value="22">22</option>
              <option value="23">23</option>
              <option value="24">24</option>
              <option value="25">25</option>
              <option value="26">26</option>
              <option value="27">27</option>
              <option value="28">28</option>
              <option value="29">29</option>
              <option value="30">30</option>
              <option value="31">31</option>
            </select><select name="form-0-corrected_start_date_month" id="id_form-0-corrected_start_date_month" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="1">January</option>
              <option value="2">February</option>
              <option value="3">March</option>
              <option value="4">April</option>
              <option value="5">May</option>
              <option value="6">June</option>
              <option value="7">July</option>
              <option value="8">August</option>
              <option value="9">September</option>
              <option value="10">October</option>
              <option value="11">November</option>
              <option value="12">December</option>
            </select><select name="form-0-corrected_start_date_year" id="id_form-0-corrected_start_date_year" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="2023">2023</option>
              <option value="2022">2022</option>
              <option value="2021">2021</option>
              <option value="2020">2020</option>
              <option value="2019">2019</option>
              <option value="2018">2018</option>
              <option value="2017">2017</option>
              <option value="2016">2016</option>
              <option value="2015">2015</option>
              <option value="2014">2014</option>
              <option value="2013">2013</option>
              <option value="2012">2012</option>
              <option value="2011">2011</option>
              <option value="2010">2010</option>
              <option value="2009">2009</option>
              <option value="2008">2008</option>
              <option value="2007">2007</option>
              <option value="2006">2006</option>
              <option value="2005">2005</option>
              <option value="2004">2004</option>
              <option value="2003">2003</option>
              <option value="2002">2002</option>
              <option value="2001">2001</option>
              <option value="2000">2000</option>
              <option value="1999">1999</option>
              <option value="1998">1998</option>
              <option value="1997">1997</option>
              <option value="1996">1996</option>
              <option value="1995">1995</option>
              <option value="1994">1994</option>
              <option value="1993">1993</option>
              <option value="1992">1992</option>
              <option value="1991">1991</option>
              <option value="1990">1990</option>
              <option value="1989">1989</option>
              <option value="1988">1988</option>
              <option value="1987">1987</option>
              <option value="1986">1986</option>
              <option value="1985">1985</option>
              <option value="1984">1984</option>
              <option value="1983">1983</option>
              <option value="1982">1982</option>
              <option value="1981">1981</option>
              <option value="1980">1980</option>
              <option value="1979">1979</option>
              <option value="1978">1978</option>
              <option value="1977">1977</option>
              <option value="1976">1976</option>
              <option value="1975">1975</option>
              <option value="1974">1974</option>
              <option value="1973">1973</option>
              <option value="1972">1972</option>
              <option value="1971">1971</option>
              <option value="1970">1970</option>
              <option value="1969">1969</option>
              <option value="1968">1968</option>
              <option value="1967">1967</option>
              <option value="1966">1966</option>
              <option value="1965">1965</option>
              <option value="1964">1964</option>
              <option value="1963">1963</option>
              <option value="1962">1962</option>
              <option value="1961">1961</option>
              <option value="1960">1960</option>
              <option value="1959">1959</option>
              <option value="1958">1958</option>
              <option value="1957">1957</option>
              <option value="1956">1956</option>
              <option value="1955">1955</option>
              <option value="1954">1954</option>
              <option value="1953">1953</option>
              <option value="1952">1952</option>
              <option value="1951">1951</option>
              <option value="1950">1950</option>
              <option value="1949">1949</option>
              <option value="1948">1948</option>
              <option value="1947">1947</option>
              <option value="1946">1946</option>
              <option value="1945">1945</option>
              <option value="1944">1944</option>
              <option value="1943">1943</option>
              <option value="1942">1942</option>
              <option value="1941">1941</option>
              <option value="1940">1940</option>
              <option value="1939">1939</option>
              <option value="1938">1938</option>
              <option value="1937">1937</option>
              <option value="1936">1936</option>
              <option value="1935">1935</option>
              <option value="1934">1934</option>
              <option value="1933">1933</option>
              <option value="1932">1932</option>
              <option value="1931">1931</option>
              <option value="1930">1930</option>
              <option value="1929">1929</option>
              <option value="1928">1928</option>
              <option value="1927">1927</option>
              <option value="1926">1926</option>
              <option value="1925">1925</option>
              <option value="1924">1924</option>
              <option value="1923">1923</option>
              <option value="1922">1922</option>
              <option value="1921">1921</option>
              <option value="1920">1920</option>
              <option value="1919">1919</option>
              <option value="1918">1918</option>
              <option value="1917">1917</option>
              <option value="1916">1916</option>
              <option value="1915">1915</option>
              <option value="1914">1914</option>
              <option value="1913">1913</option>
              <option value="1912">1912</option>
              <option value="1911">1911</option>
              <option value="1910">1910</option>
              <option value="1909">1909</option>
              <option value="1908">1908</option>
              <option value="1907">1907</option>
              <option value="1906">1906</option>
              <option value="1905">1905</option>
              <option value="1904">1904</option>
              <option value="1903">1903</option>
              <option value="1902">1902</option>
            </select> <button class="btn btn-secondary selectdatewidget datepicker-popover hidden-sm-down" data-toggle="popover" data-for="picker_id_form-0-corrected_start_date_day" type="button" id="picker_id_form-0-corrected_start_date_day"
              data-startdate="1902-01-01" data-enddate="2023-12-31" data-original-title="" title=""> <i class="fa fa-calendar"></i> </button> </div>
        </div>
      </div>
      <div class="row mb-1"> <label class="col-sm-12 col-md-3 col-lg-2 pt-0-5"> End date </label>
        <div class="col-sm-12 col-md-6 col-lg-4"> 23 Sep 2023 </div>
        <div id="div_id_form-0-corrected_end_date" class="form-group"> <label for="id_form-0-corrected_end_date_day" class="form-control-label sr-only hidden-xs-upsr-only hidden-xs-up"> End Date </label>
          <div class="col-sm-12 col-md-6 col-lg-4"> <select name="form-0-corrected_end_date_day" id="id_form-0-corrected_end_date_day" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="1">1</option>
              <option value="2">2</option>
              <option value="3">3</option>
              <option value="4">4</option>
              <option value="5">5</option>
              <option value="6">6</option>
              <option value="7">7</option>
              <option value="8">8</option>
              <option value="9">9</option>
              <option value="10">10</option>
              <option value="11">11</option>
              <option value="12">12</option>
              <option value="13">13</option>
              <option value="14">14</option>
              <option value="15">15</option>
              <option value="16">16</option>
              <option value="17">17</option>
              <option value="18">18</option>
              <option value="19">19</option>
              <option value="20">20</option>
              <option value="21">21</option>
              <option value="22">22</option>
              <option value="23">23</option>
              <option value="24">24</option>
              <option value="25">25</option>
              <option value="26">26</option>
              <option value="27">27</option>
              <option value="28">28</option>
              <option value="29">29</option>
              <option value="30">30</option>
              <option value="31">31</option>
            </select><select name="form-0-corrected_end_date_month" id="id_form-0-corrected_end_date_month" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="1">January</option>
              <option value="2">February</option>
              <option value="3">March</option>
              <option value="4">April</option>
              <option value="5">May</option>
              <option value="6">June</option>
              <option value="7">July</option>
              <option value="8">August</option>
              <option value="9">September</option>
              <option value="10">October</option>
              <option value="11">November</option>
              <option value="12">December</option>
            </select><select name="form-0-corrected_end_date_year" id="id_form-0-corrected_end_date_year" class="form-control selectdatewidget form-control">
              <option value="" selected="">---</option>
              <option value="2023">2023</option>
              <option value="2022">2022</option>
              <option value="2021">2021</option>
              <option value="2020">2020</option>
              <option value="2019">2019</option>
              <option value="2018">2018</option>
              <option value="2017">2017</option>
              <option value="2016">2016</option>
              <option value="2015">2015</option>
              <option value="2014">2014</option>
              <option value="2013">2013</option>
              <option value="2012">2012</option>
              <option value="2011">2011</option>
              <option value="2010">2010</option>
              <option value="2009">2009</option>
              <option value="2008">2008</option>
              <option value="2007">2007</option>
              <option value="2006">2006</option>
              <option value="2005">2005</option>
              <option value="2004">2004</option>
              <option value="2003">2003</option>
              <option value="2002">2002</option>
              <option value="2001">2001</option>
              <option value="2000">2000</option>
              <option value="1999">1999</option>
              <option value="1998">1998</option>
              <option value="1997">1997</option>
              <option value="1996">1996</option>
              <option value="1995">1995</option>
              <option value="1994">1994</option>
              <option value="1993">1993</option>
              <option value="1992">1992</option>
              <option value="1991">1991</option>
              <option value="1990">1990</option>
              <option value="1989">1989</option>
              <option value="1988">1988</option>
              <option value="1987">1987</option>
              <option value="1986">1986</option>
              <option value="1985">1985</option>
              <option value="1984">1984</option>
              <option value="1983">1983</option>
              <option value="1982">1982</option>
              <option value="1981">1981</option>
              <option value="1980">1980</option>
              <option value="1979">1979</option>
              <option value="1978">1978</option>
              <option value="1977">1977</option>
              <option value="1976">1976</option>
              <option value="1975">1975</option>
              <option value="1974">1974</option>
              <option value="1973">1973</option>
              <option value="1972">1972</option>
              <option value="1971">1971</option>
              <option value="1970">1970</option>
              <option value="1969">1969</option>
              <option value="1968">1968</option>
              <option value="1967">1967</option>
              <option value="1966">1966</option>
              <option value="1965">1965</option>
              <option value="1964">1964</option>
              <option value="1963">1963</option>
              <option value="1962">1962</option>
              <option value="1961">1961</option>
              <option value="1960">1960</option>
              <option value="1959">1959</option>
              <option value="1958">1958</option>
              <option value="1957">1957</option>
              <option value="1956">1956</option>
              <option value="1955">1955</option>
              <option value="1954">1954</option>
              <option value="1953">1953</option>
              <option value="1952">1952</option>
              <option value="1951">1951</option>
              <option value="1950">1950</option>
              <option value="1949">1949</option>
              <option value="1948">1948</option>
              <option value="1947">1947</option>
              <option value="1946">1946</option>
              <option value="1945">1945</option>
              <option value="1944">1944</option>
              <option value="1943">1943</option>
              <option value="1942">1942</option>
              <option value="1941">1941</option>
              <option value="1940">1940</option>
              <option value="1939">1939</option>
              <option value="1938">1938</option>
              <option value="1937">1937</option>
              <option value="1936">1936</option>
              <option value="1935">1935</option>
              <option value="1934">1934</option>
              <option value="1933">1933</option>
              <option value="1932">1932</option>
              <option value="1931">1931</option>
              <option value="1930">1930</option>
              <option value="1929">1929</option>
              <option value="1928">1928</option>
              <option value="1927">1927</option>
              <option value="1926">1926</option>
              <option value="1925">1925</option>
              <option value="1924">1924</option>
              <option value="1923">1923</option>
              <option value="1922">1922</option>
              <option value="1921">1921</option>
              <option value="1920">1920</option>
              <option value="1919">1919</option>
              <option value="1918">1918</option>
              <option value="1917">1917</option>
              <option value="1916">1916</option>
              <option value="1915">1915</option>
              <option value="1914">1914</option>
              <option value="1913">1913</option>
              <option value="1912">1912</option>
              <option value="1911">1911</option>
              <option value="1910">1910</option>
              <option value="1909">1909</option>
              <option value="1908">1908</option>
              <option value="1907">1907</option>
              <option value="1906">1906</option>
              <option value="1905">1905</option>
              <option value="1904">1904</option>
              <option value="1903">1903</option>
              <option value="1902">1902</option>
            </select> <button class="btn btn-secondary selectdatewidget datepicker-popover hidden-sm-down" data-toggle="popover" data-for="picker_id_form-0-corrected_end_date_day" type="button" id="picker_id_form-0-corrected_end_date_day"
              data-startdate="1902-01-01" data-enddate="2023-12-31" data-original-title="" title=""> <i class="fa fa-calendar"></i> </button> </div>
        </div>
      </div>
      <div class="row"> <label class="col-sm-12 col-md-3 col-lg-2 pt-0-5"> Position held: </label>
        <div class="col-sm-12 col-md-6 col-lg-4"> Administration assistant </div>
        <div id="div_id_form-0-corrected_position" class="form-group row"> <label for="id_form-0-corrected_position" class="sr-only hidden-xs-up col-form-label "> Corrected position </label>
          <div class="col-sm-12 col-md-6 col-lg-4"> <input type="text" name="form-0-corrected_position" maxlength="100" class="textinput textInput form-control" placeholder="Corrected position" id="id_form-0-corrected_position"> </div>
        </div>
      </div>
      <div class="row"> <label class="col-sm-12 col-md-3 col-lg-2 pt-0-5"> Reason for leaving: </label>
        <div class="col-sm-12 col-md-6 col-lg-4">
          <p>Moved countries</p>
        </div>
        <div id="div_id_form-0-corrected_reason_for_leaving" class="form-group row"> <label for="id_form-0-corrected_reason_for_leaving" class="sr-only hidden-xs-up col-form-label "> Corrected reason for leaving </label>
          <div class="col-sm-12 col-md-6 col-lg-4"> <textarea name="form-0-corrected_reason_for_leaving" cols="40" rows="10" class="textarea form-control" placeholder="Corrected reason for leaving"
              id="id_form-0-corrected_reason_for_leaving"></textarea> </div>
        </div>
      </div>
    </div>
  </div>
  <input type="hidden" name="mandatory-TOTAL_FORMS" value="2" id="id_mandatory-TOTAL_FORMS"><input type="hidden" name="mandatory-INITIAL_FORMS" value="0" id="id_mandatory-INITIAL_FORMS"><input type="hidden" name="mandatory-MIN_NUM_FORMS" value="0"
    id="id_mandatory-MIN_NUM_FORMS"><input type="hidden" name="mandatory-MAX_NUM_FORMS" value="1000" id="id_mandatory-MAX_NUM_FORMS">
  <fieldset>
    <legend>Mandatory information</legend>
    <p>Please answer the following questions:</p>
    <input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
    <div id="div_id_mandatory-0-answer" class="form-group"> <label for="id_mandatory-0-answer" class="col-form-label  requiredField"> Does the individual have any unspent disciplinary warnings in place? If yes, please provide the date, level and
        duration of the disciplinary warning, along with a brief reason for the disciplinary action.<span class="asteriskField">*</span> </label>
      <div class=""> <textarea name="mandatory-0-answer" cols="40" rows="10" class="textarea form-control" required="required" id="id_mandatory-0-answer"></textarea> </div>
    </div>
    <input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
    <div id="div_id_mandatory-1-answer" class="form-group"> <label for="id_mandatory-1-answer" class="col-form-label  requiredField"> Have you had cause to refer the individual to the Disclosure and Barring Service?<span
          class="asteriskField">*</span> </label>
      <div class=""> <textarea name="mandatory-1-answer" cols="40" rows="10" class="textarea form-control" required="required" id="id_mandatory-1-answer"></textarea> </div>
    </div>
  </fieldset>
  <hr \="">
  <input type="hidden" name="optional-TOTAL_FORMS" value="1" id="id_optional-TOTAL_FORMS"><input type="hidden" name="optional-INITIAL_FORMS" value="0" id="id_optional-INITIAL_FORMS"><input type="hidden" name="optional-MIN_NUM_FORMS" value="0"
    id="id_optional-MIN_NUM_FORMS"><input type="hidden" name="optional-MAX_NUM_FORMS" value="1000" id="id_optional-MAX_NUM_FORMS">
  <fieldset>
    <legend>Further Information</legend>
    <p>The following questions are optional and may be completed at your discretion:</p>
    <input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
    <div id="div_id_optional-0-answer" class="form-group"> <label for="id_optional-0-answer" class="col-form-label "> How many days of sickness related absence has the individual taken in the last 2 years of employment? </label>
      <div class=""> <textarea name="optional-0-answer" cols="40" rows="10" class="textarea form-control" id="id_optional-0-answer"></textarea> </div>
    </div>
  </fieldset>
  <hr \="">
  <input type="hidden" name="choice-TOTAL_FORMS" value="1" id="id_choice-TOTAL_FORMS"><input type="hidden" name="choice-INITIAL_FORMS" value="0" id="id_choice-INITIAL_FORMS"><input type="hidden" name="choice-MIN_NUM_FORMS" value="0"
    id="id_choice-MIN_NUM_FORMS"><input type="hidden" name="choice-MAX_NUM_FORMS" value="1000" id="id_choice-MAX_NUM_FORMS">
  <fieldset>
    <p>The following questions are optional and may be completed at your discretion:</p>
    <input type="hidden" name="csrfmiddlewaretoken" value="zCxHNoL1T7TTOdTRifj9t5Lj3FWKl41NbrRzBq2Raq0dyk2olkTy8l1O26wRd0fI">
    <div> Would you employ this person again? </div> <input type="hidden" name="choice-0-question" value="Would you employ this person again?" readonly="" id="id_choice-0-question">
    <div id="div_id_choice-0-answer" class="form-group"> <label for="id_choice-0-answer_0" class="col-form-label ">
        <django.forms.widgets.radioselect object="" at="" 0x7fef9d6fb358=""> </django.forms.widgets.radioselect>
      </label>
      <div class="">
        <div class="form-check"> <label for="id_id_choice-0-answer_0_1" class="form-check-label"> <input type="radio" class="form-check-input" name="choice-0-answer" id="id_id_choice-0-answer_0_1" value="Yes"> Yes </label> </div>
        <div class="form-check"> <label for="id_id_choice-0-answer_0_2" class="form-check-label"> <input type="radio" class="form-check-input" name="choice-0-answer" id="id_id_choice-0-answer_0_2" value="No"> No </label> </div>
        <div class="form-check"> <label for="id_id_choice-0-answer_0_3" class="form-check-label"> <input type="radio" class="form-check-input" name="choice-0-answer" id="id_id_choice-0-answer_0_3" value="Not company policy to re-hire"> Not company
            policy to re-hire </label> </div>
      </div>
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Text Content

REFERENCE SUBMISSION


REFERENCE SUBMISSION



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You can give a reference here utilising our online referencing system. Please
check the information supplied below and select one of the options given.


MICHELLE BANDA

Date of birth:24 Jun 2001 National Insurance Number:SH304337B


YOUR DETAILS

Name:Carla Nash Organisation:- Department:- Position:Owner


POSITIONS

You have been asked to verify the following information supplied by Michelle
Banda.

If this information is correct please click ‘Confirm Reference’. If you wish to
amend the claim please do so prior to confirming in order to submit the altered
information. If you are unable to provide a reference, please decline the
request detailing the reasons why at the bottom of this page.


THICKWOOD SOBEYS#1

ADMINISTRATION

Start date
15 Aug 2023
Start Date
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End date
23 Sep 2023
End Date
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Position held:
Administration assistant
Corrected position

Reason for leaving:

Moved countries

Corrected reason for leaving

Mandatory information

Please answer the following questions:

Does the individual have any unspent disciplinary warnings in place? If yes,
please provide the date, level and duration of the disciplinary warning, along
with a brief reason for the disciplinary action.*

Have you had cause to refer the individual to the Disclosure and Barring
Service?*


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Further Information

The following questions are optional and may be completed at your discretion:

How many days of sickness related absence has the individual taken in the last 2
years of employment?


--------------------------------------------------------------------------------

The following questions are optional and may be completed at your discretion:

Would you employ this person again?
Yes
No
Not company policy to re-hire

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CONFIRM THIS REFERENCE

I confirm that I am the named referee, Carla Nash, and that the above
information is correct to the best of my knowledge.




DECLINE TO PROVIDE THIS REFERENCE

Reason for declining:

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