Last 5 years - most recent first.

Continued.

Please provide contact details for 2 references from past employers or business associates who may be contacted for background references. We will not contact these references until you are happy for us to do so.

It is understood that the purpose of this application is for information purposes only. It is in no way binding upon either Veronica's Insurance Franchise or the applicant. The undersigned certifies that the information provided is true and correct, and acknowledges that it will be relied upon by Veronica's Insurance Franchise in assessing the candidates suitability.