Company Registration Form
Employee Name
*
Mr.
Mrs.
Prefix
First Name
Last Name
Take Photo (Head and Shoulders)
Permanent Address - If you have lived at this address for LESS THAN 5 YEARS, please give previous address/addresses going back at least 5 years.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date From:
*
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Month
-
Day
Year
Date
Date To:
*
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Month
-
Day
Year
Date
Previous Address 1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address 1 from:
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Month
-
Day
Year
Date
previous Address 1 to:
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Month
-
Day
Year
Date
Previous Address 2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address 2 from:
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Month
-
Day
Year
Date
Previous Address 2 to:
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Month
-
Day
Year
Date
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth
E-mail
*
example@example.com
Gender
*
Please Select
Male
Female
N/A
National Insurance.
*
Mobile Number
*
SIA Licence Number
SIA Licence Expiry Date
License
Please Select
Door Supervisor
Close Protection
CCTV
Register for a non licensed position
Steward
Upload License
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Upload Identification
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Upload Right To Work
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Upload copy of DBS Certificate
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Payment Details
Payment Terms - PAYE selected you most complete new starter checklist below UTR selected you most input unique code below
*
Please Select
PAYE
SELF EMPLOYMENT WITH UTR
Account Number
*
Sort Code
*
Input Your UTR (Unique Tax Reference Number) if selected above in payment terms
Please upload CV or Resume
Upload CV - (5 year work history to be verified from start date with 2 employment references)
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Emergency Contact Details
Emergency conatct Name
First Name
Last Name
Relationship to Employee
Emergency contact Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency contact phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Referees
Please give details of TWO personal referees for the purpose of character confirmation & career gap verification. Preferred length of time known - 5 years (Minimum 3 years) immediately prior to date of application. A character referee CANNOT be : related to you by blood or marriage, live at the same address as you or be a previous employer.
Personal Referee 1 Name
First Name
Last Name
Personal Referee 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Referee 1 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Referee 1 Email Address
example@example.com
Relationship to you
Length of time know (Min 3 years)
Personal Referee 2 Name
First Name
Last Name
Personal Referee 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Referee 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to you
Length of Time Known
Do you have any criminal convictions including motoring offences, pending or not regarded as spent under the Rehabilitation Of Offenders Act 1974 / N.I Order 1978?
YES
NO
If YES, please give details:
Within the last 6 years. Have any County Court Judgements been made against you? Have you been declared Bankrupt / Insolvent? Have you made any individual voluntary Arrangements (IVA'S)
YES
NO
If YES, please give details:
Are you a director, secretary or officer of another organisation?
YES
NO
If YES, please give details:
Security screening declaration
I understand that employment with this company is subject to references and screening in accordance with BS7858. I confirm that the information I have provided on my application is true and complete to the best of my knowledge. I understand and agree that i will be subject to any or all of the following checks : Adress check/Financial check/Academic check/Employment check/ID check/Criminal background check. I authorise the company or its agents to approach government agencies, former employers, educational establishments, for information relating to and verification of my employment history, a consumer information search and ID check with a credit reference agency, which will keep a record of those searches in line with current legislation. I further declare that any documents that I provide as proof of my identity, proof of address, and any other documents that i provide are genuine and that any falsified documents may be reported to the appropriate authority. I understand that it may be a criminal offence to attempt to obtain employment by deception and that any misrepresentation, omission of a material fact or deception will be cause for immediate withdrawal of any offer of employment. I accept that i may be required to undergo a medical examination where requested by the company. I understand and agree that if so required I will make a statutory declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment.
Criminal Background Check Declaration
You are applying for a position of trust and in the event of being offered employment by the company we may apply for a criminal background check. However, having a criminal record does not necessarily bar you from employment. Criminal record information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. By signing this document, upon request you agree to provide a copy of the criminal record certificates. The criminal background information is not retained. By signing below you agree to this process.
Screening Declaration
Any offer of employment is subject to satisfactory screening, that the applicant consents to being screened and will provide information as required. I understand that any false statement or omission to the company or its representatives may render me liable to dismissal without notice. By signing this declaration, I agree that I have provided complete and true information in support of the application and that i understand that knowingly making a false statement for this purpose is a criminal offence. Your organisation will be advised when screening is complete. You provide your explicit consent for all gathered documentation including any evidence or information that you have provided in association with your vetting to be passed to your requesting organisation.
Full Name
First Name
Last Name
Date Completed DD MM YYYY
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Month
-
Day
Year
Date
Signature
*
Additional Comments
Submit
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