Our application form is available online for you to download, print, and send to us! Click the link below to download the Adobe Acrobat PDF file.

Application form (136kb)

The postal address to send to is:

Jemma Stanton
Adrian Flux Insurance Group
East Winch Hall
East Winch
KINGS LYNN
PE32 1HN

If you're unable to download and print the above application form please submit your details below to have one sent to you by post.

Title:

Forenames:

Surname:

Address:

Postcode:

Telephone:

e-Mail:

Position applied for:

It is understood and agreed that any misrepresentation by me on this application form will be sufficient cause for rejection of this application and / or termination from the employer's service if I have been employed.I give the employer the right to investigate all references and to secure additional information about me if job related. I hereby release from liability the employer and it's representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.The employer is a Equal Opportunity Employer. The employer does not discriminate in employment and no question on this application is used on purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by law.

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