AJP Contractor Registration

Personal Deatils
First Name
Surname
Address Line 1
Address Line 2
Address Line 3
Postcode
Tel. Home
Tel. Mobile
Email Address
NI Number
Health & Safety
Do you have any medical conditions that you are aware of?
If yes please give details
Do you require any special facilities at work?
If yes please give details
Next of Kin / Emergency Contact
Contact 1
First Name
Surname
Address 1
Address 2
Address 3
Postcode
Tel. Home
Tel. Mobile
Contact
First Name
Surname
Address 1
Address 2
Address 3
Postcode
Tel. Home
Tel. Mobile
Criminal Record
Do you hold Criminal Records Bureau Disclosure (CRB Check)?
If yes please give details
Have you even been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders act 1974? *
If yes please give details
The rehabilitation of offenders act 1974 (exceptions) order 1975 requires us to ask you for additional information as you may come in to contact with vulnerable adults or children in some of the opportunities we have at present. A CRB check may be required where this type of work is sought
Do you have any previous convictions, whether or not they are spent within the act, including any cautions, reprimands, final warning, bind-overs or any convictions from overseas?
If yes please give details
Do you hold any form of current security clearance?
If yes please give details
References
Reference 1
Name
Company
Job Title
Mobile
Email
Reference 2
Name
Company
Job Title
Mobile
Email
Required Documents
Passport

Attach Files
Additional documents, certifications and qualifications

Attach Files
How would you like to be paid?
Which umbrella company do you want to be paid through
Are you currently registered with your selected payment company or would you like us to send your contact details to that company.
If you would like to be paid via your own limited company, please upload the following documents;
Are you VAT registered?
Certificate of Incorporation

Attach Files
VAT Certificate

Attach Files
Public Liability Insurance

Attach Files
Where did you hear about AJP?
DOB & BANK DETAILS
Sort Code
Account Number
Name of Bank
Name of Account Holder
Date of Birth Date of Birth / DD / MM YYYY
Bank details for international candidate requires
IBAN
Swift/BIC
DECLARATION

I confirm that the information provided on this form is both truthful and accurate. I have omitted no facts that could affect my future employment. I consent to any sensitive or personal data, disclosed as part of my application, being used in connection with the search for work, subject to the relevant data protection legislation.

I will inform AJP Recruitment Ltd of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst i am registered for permanent or temporary work. I understand that AJP Recruitment Ltd has the right to request a criminal records bureau disclosure where they consider it necessary and that any details from this or any other police checks provided, may be forwarded to a potential employer.

I agree that by submitting this form, I am electronically signing this form and agreeing to the above statements
Name
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / DD / MM YYYY
In compliance with GDPR, you have the right to request a copy of the data entered on this form or to request its deletion at any time. The data is stored securely and can be accessed by emailing us. Please refer to our Privacy Policy for further information about how we process data. If you are happy to proceed, please confirm your consent below.

AJP Contractor Registration

Personal Deatils

Health & Safety

Next of Kin / Emergency Contact

Contact 1

Contact

Criminal Record

The rehabilitation of offenders act 1974 (exceptions) order 1975 requires us to ask you for additional information as you may come in to contact with vulnerable adults or children in some of the opportunities we have at present. A CRB check may be required where this type of work is sought

References

Reference 1

Reference 2

Required Documents

If you would like to be paid via your own limited company, please upload the following documents;

DOB & BANK DETAILS

DECLARATION