Please complete the form below and submit, our staff will contact you once we have processed the form.
Date of Birth
National Insurance No.
Next of Kin
Other (Please Specify)
Upload Photo ID (Driving Licence or Passport) - This can be emailed separately if required.
Bank Name / Address
Building Society Ref
If you are to be paid into someone else’s bank/building society account:
Please complete the following declaration:
I confirm that the bank details provided above are that of a third party. I hereby authorise you to pay my wages in to the above bank/building society account, and understand that the Employment Agency will not accept any responsibility for any personal errors or disputes which may arise.
Account is held in the name of
Should you have an up to date CV please attached this to the form and skip to the next section.
Please state most recent position first.
Company Name / Address
Duties / Responsibilities
Salary / Rate
Reason for Leaving
Please give the names and telephone number of two previous employers who will provide references.
Have you ever been convicted of a criminal offence?
If YES please give details (you do not need to detail offences that are spent under the Rehabilitation of Offenders Act (1974)
Do you have any medical conditions that may affect future work?
If Yes please give details
Please read the statements below and sign to confirm:
• I confirm that I am eligible to work in the UK.
• I undertake to notify PR Recruitment & Training Ltd of changes in my circumstances, including health, criminal convictions and driving endorsements, which would or could affect my ability to work.
• I confirm that all of the above details are true to the best of my knowledge and I authorise you to seek any reference required.
PR Recruitment and Training Ltd are committed to a policy of equal opportunities for all work seekers and shall adhere to such policy at all times.
The information that you provide on this form and on any CV given will be used by PR Recruitment and Training Ltd to provide 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 present or detect crime, to protect public funds, or in other ways permitted or required by law.
The Working Time Regulations 1998 provide that the Temporary Worker shall not work on an Assignment with the Client in excess of the Working Week unless he agrees in writing that this limit should not apply. The Temporary Worker hereby agrees that the Working Week limit shall not apply to the Assignment. The Temporary Worker may end this Agreement by giving the Employment Business one month’s notice in writing. For the avoidance of doubt, any notice bringing this Agreement to an end shall not be constructed as termination by the Temporary Worker of an Assignment with the Client.
Signed by the Temporary Worker
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