HR Fit & Proper Questionnaire

HR Fit & Proper Questionnaire

This Fit & Proper Questionnaire is used to assess suitability, integrity and any potential conflicts relevant to the role applied for. Complete all sections truthfully. False statements, omissions or misrepresentations may result in withdrawal of an offer or termination of employment.

Personal Information

Date of birth:    Identification number (e.g. national ID or passport):

Position Information

Reporting manager / supervisor:    Proposed start date:

Full-time    Part-time    Contract / Fixed term    Other

Employment History (most recent first)

Employer 1

From:    To:

Employer 2

From:    To:

Education and Qualifications

Graduation / completion date:

References

Declarations and Disclosures

For each statement below, check the appropriate box. If Yes, you must provide full details in the corresponding explanation field immediately after the question. Failure to disclose relevant matters may affect fitness determinations.

1. Have you ever been convicted of a criminal offence, or pleaded guilty or no contest to a criminal charge? (Exclude minor traffic matters.)    Yes    No

2. Are there any pending criminal charges, investigations or prosecutions against you?    Yes    No

3. Have you ever been the subject of disciplinary proceedings, professional misconduct findings, or sanctions by a regulatory, licensing or professional body?    Yes    No

4. Have you ever had a professional license suspended, revoked or restricted?    Yes    No

5. Have you ever been declared bankrupt, entered into a formal arrangement with creditors, or been an officer/director of a company placed into insolvency proceedings?    Yes    No

6. Are you or any immediate family members currently politically exposed persons (PEP) or holding prominent public functions?    Yes    No

7. Do you have any actual, potential or perceived conflicts of interest with the duties of the proposed role (including outside employment, board positions, significant shareholdings or family relationships)?    Yes    No

Consent and Authorisations

I authorise the Employer to: (a) verify the information supplied in this questionnaire; (b) contact past employers, educational institutions, professional bodies and referees; and (c) obtain background checks including criminal record checks, credit/financial checks where permitted by law and professional licence verification. I understand the Employer will handle personal information in accordance with applicable privacy obligations.

I give my consent:    Yes    No

Legal Statements

At-Will Employment: If an offer of employment is extended, employment will be at-will unless otherwise agreed in writing. Either party may terminate the employment relationship at any time, for any lawful reason, subject to applicable notice and statutory requirements.

Equal Opportunity: The Employer is an equal opportunity employer. Decisions will be made without discrimination on the basis of protected characteristics. The information provided in this form will be used for suitability assessment and compliance with legal and regulatory obligations.

Applicant Certification

I certify that the information provided in this Fit & Proper Questionnaire is true, complete and correct to the best of my knowledge. I acknowledge that failure to disclose material information, or providing false or misleading information, may lead to withdrawal of any offer or dismissal if discovered after appointment. I authorise the Employer to verify any information provided and to seek additional information from third parties where permitted by law.

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