Former staff

Personal Details

Title

If Other

First name

Surname

Name as known while member of staff (if applicable)

Gender

Date of birth

Date of birth - DayDate of birth - MonthDate of birth - Year

Address

City

County

Postcode

Country

Contact telephone

Email

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Your employment at the University

Faculty/Department you worked for

If Other please specify

Last position held during employment

If academic member of staff please identify your specialism

I worked at the University from

To

Current Employment Details

If Other give details

Please give details of your current or most recent employment

What industry do you work in? e.g. education, IT, Engineering etc.

Employer

Job Title

Town

County

Postcode

Telephone number (inc code)

Work Email

Additional Information

Please add any additional information here (e.g. achievements, awards, charity work etc.)

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Post

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SMS

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