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Machine Force Ltd
Profile & Declaration Sheet
Candidate name N.I. No.: Registration No.:
Date of Birth.: Age:

Address:

 

 

Employer address:

Module's

 

Date

 

Candidate Claimed Experience (Continue on a separate sheet if necessary)

Candidate claimed experience

 

 

 

Copies of training records (attach copies)

(Include) Anything that could help your application. Letters from the employers and clients to support your claim as an experienced operator.

 

 
Declaration (This section must be completed)
Important:
Direct entrants into any scheme offered, you are declaring that the candidate has 3 yrs experience in the construction industry and two yrs experience for each item of plant being tested on. Candidates seeking this Fast Track route must be over 21 Years old. If the assessment clearly identifies that the candidate requires training, you will be required to complete the appropriate amount of training days in accordance with the scheme being assessed.

Name

 

Sign Company (if applicable)

The following sections are to be completed by the Instructor and the candidate on the day.
 
Candidate has sufficient experience
 
Candidate does not have sufficient experience
 

CPCS Touch screen test

Date Yes/No
 
Candidate sign
 
Instructor sign