CIS Application Form

Application Form
Full Name*

First NameLast Name
Address: Number / Road*
Town*
Post Code*
Date of Birth*
National Insurance Number*
UTR Number:*
E-mail*
Telephone*
Company Name (if we are paying a company)
Company Reg Number (if we are paying a company)
VAT Number (if VAT registered)
Attach copy of Company registration document

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Attach copy of VAT registration document

Upload a File

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Where would you like to be paid:
Bank Name
Sort Code*
Account Number*
Account Name*
I UNDERSTAND I WILL RECEIVE MY PAYMENTS THROUGH DUPLEX PAYROLL. IN ACCORDANCE WITH THE DATA PROTECTION ACT 1988 DUPLEX IS REGISTERED TO HOLD MY INFORMATION BOTH ELECTRONICALLY AND ON PAPER FILES FOR THE PERIOD DEEMED NECESSARY INCLUDING BUT NOT LIMITED TO PROCESSING MY PAY. I ACKNOWLEDGE THAT MY DETAILS WILL NOT BE RELEASED TO THIRD PARTIES UNLESS IT IS REQUIRED BY HMRC OR ANOTHER ENFORCEMENT AGENCY.
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