Candidate Name
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Date of Employment: From
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Date of Employment: End
*
I have known the candidate in my capacity as:
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Please comment on the applicant’s technical skills
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What is your assessment of their: Communication skills
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Very Good
Good
Fair
What is your assessment of their: Relationship with colleagues
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Very Good
Good
Fair
What is your assessment of their: Punctuality/time keeping
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Very Good
Good
Fair
Sickness: Please state the number of occasions the candidate has been absent due to sickness in the last 24 months
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Sickness: Please state the number of days the candidate has been absent due to sickness in the last 24 months
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Would you re-employ the applicant?
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Yes
No
Referee name
*
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