1. Personal Details

********

***** Please attach copies of all cards / certificates

PLEASE NOTE: If you are a citizen of the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia, or Slovenia you may have to register your employment with the Home Office. If so we will write to you soon to request further information.

* EEA Countries - Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Rep of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden.

2. Identification

We are required by law to ensure that BEFORE applicants start work they are eligible to work in the UK and hold supporting documents. This paperwork is required BEFORE we process your wages.

Please attach 1 copy from list 1 OR 2 copies from list 2:

List 1:

Signed, current UK Passport
A Passport containing a UK certificate of entitlement to like in the UK
EEA Member State Identity Card or Passport which confers right of entry to or residence in the UK
UK Residence permit issued by the Home Office to EEA nationals
National Identity Card containing your photograph

List 2:

A document issued by a previous employer, Inland Revenue, Dept for Work & Pensions, Jobcentreplus etc with your NI number
A UK photocard driving license
A birth certificate issued in the UK, which specified the names of holders parents
A birth certificate issue in the Channel Islands, the Isle of Man or Ireland
A letter issued by the home office granting indefinite leave to enter or remain in the UK

Attach File

Attach File 2

Confirmation of Home Address

Please attach one of the following:

Recent (within the last 3 months) utility bill or statement
Local council tax bill for current year
Recent bank, building society or credit union statement
Inland Revenue self assessment statement or tax demand

Confirmation from an electoral register search
Recent Mortgage statement from a recognised lender
House or motor insurance certificate

Attach File

3. Payment Options

(Please tick ONE box)

Section A: Payroll Company CIS

Payroll Company CIS

Section B: Payroll Company PAYE

Payroll Company PAYE

Section C: Own Limited Company

Own Limited Company

5. Professional References

These must be senior manager from your last two employers, not colleagues.
(Written references may also be supplied. We reserve the right to contact all previous employers or clients).

Reference 1:

Reference 2:

6. Professional Qualifications, Certificates & Cards

7. Working Time Regulations (Freelance Workers Only)

Under the Working Time Regulations 1998, you are not permitted to work more than an average of 48 hours per week unless you opt out. If you opt out, you will you will be permitted to work more than 48 hours per week but are not under any obligation to do so. If you choose to opt out, you may withdraw your consent at any time by giving us seven days notice in writing.

Would you like to opt out of the Working Time Regulations:

Yes

8. Criminal Convictions

Do you have any unspent* criminal convictions:

Yes

*Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details for all criminal convictions must be given. The information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Firstfix Recruitment Ltd, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.

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