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Unit 201 Nvq

By mrtdowen Jul 03, 2013 656 Words

Personal information:

|Mr / Mrs / Miss / Ms |Name: |D.O.B: |

|Address: |Telephone (Please specify personal or work) | | |Home: | | | | | |Mobile: | | | | |Postcode: |Email: |

|Job Title: |

|Skills Summary: (provide CV if available) | | | | | | | | | | | | | | | | | | |

Proof of eligibility to work in the UK:

Do you have immigration permission to work in the UK? Yes/No (delete clearly as appropriate)

In line with Home Office guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by ITS for temporary work

Qualifications /Tickets:

Please list any relevant qualifications / tickets held: (please provide copies) | | | | | | | |

Employer References: Please provide us with two recent references

|Name, company and |Dates employed |Duties |Reason for leaving | |Contact details of referee | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Health & Safety:

Are you conversant with on site Health & Safety requirements? Yes/no Please detail below any safety gear, qualifications, courses or inductions you have attained: | | |CSCS CPCS IPAF Confined Spaces NRSWA Streetworks Other | | | |PPE Hard hat Steel toecap boots High-vis vest Gloves Goggles | | | |Asbestos Division: | | | |RPE Half Face Mask Full Face Mask Medical Certificate Transit Boots Asbestos License |

Work requirements:

Current Salary / Hourly Rate:Own Transport/Public/Push BikeTravel Radius

CRB Checked:Yes/No1st Aid Qualification: Yes/No if Yes expiry date:

Hand Tools:Yes/No110V ToolsYes/No

Additional information:

Have you had any criminal convictions?

Is there any medical information that you feel we should be made aware of?

Next of kin:

|Name: | | |Phone number: | | |Relationship to you: | |

Data Protection Statement

The information that you provide on this form and on any CV given will be used by ITS to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients.

We may check the information collected, with third parties or with other information held by us.

We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.

Candidate Declaration

I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed onto potential employers.

If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that ITS will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).

|Signature: | |Print Name: | |Date: |

For office use only Consultant: Office: Date:

Proof of Eligibility to work in the UK documentsyes/no Copy of tickets, qualifications & driving licence (if required)yes/no Reference information and NI yes/no
Terms & Conditions signedyes/no

PAYE Information:

|NI: | |Bank/Building Society Name: | |Branch: | |Sort Code: | |Account Number: | |Building Society Role Number: | |Account Name: |

UTR Payment Option (we operate a preferred supplier list):

|1st Choice Payment Company: | |2nd Choice Payment Company: | |UTR Number: | |(Copy of card/certificate required) |

Self Employed/ Ltd Company:
We will need to verify your self employed/ Ltd Company status. You will need to supply copies of your Company Registration and UTR documents, Liability Insurance and if applicable VAT Registration document. You will also need to ensure you send us invoices on a weekly basis and supply the following details;

|Bank/Building Society Name: | |Branch: | |Sort Code: | |Account Number: | |Building Society Role Number: | |Account Name: |

I declare that all the information provided in this form is correct and that is my responsibility to inform ITS of any changes:

|Signature: |

|Print Name: |

|Date: |

For office use only Consultant: Office: Date: NI & Bank Details checkedyes/no

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