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Umbrella Registration
First Name
Surname
Gender
Mobile
E-mail Address
Address1
Address2
Address3
Post code
Date Of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Marital Status
N.I number
Nationality
Contract Details
Job title
Client
Client Site
Will you be working under the clients direction and supervision?
Have you worked on this site before?
Agency
Agency Contact Name
Contact Telephone
Contract Start Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Proof of ID

Select File

Cancelof
Do You have a P45
P45 Upload

Select File

Cancelof
Elegibility to Work In the UK
Name of Bank
Name on Bank Account
Bank Sort Code
Bank Account Number
How would you like to receive your holiday pay?
I confirm
That it is my intention to use Rollpoint as my Umbrella Company for more than one assignment, and I believe that the Assignments will be temporary in nature, each lasting less than 2 years, and I will inform Rollpoint immediately should my expectation become that an assignment will be extended past the 24 month point.

That it is a requirement to supply Rollpoint with a copy of my ID, and where appropriate, Eligibility to Work, and failure to do so will result in non-payment.

That where I am using my own vehicle, I have relevant insurance to cover Business Use and have a valid Driving Licence which entitles me to drive in the UK.

I agree to the collection and secure storage of sensitive information.

That all information supplied is true.
Print Name
Signature
Should be Empty: