Allied Recruitment Trades & Labour Registration Pack

Bank Details Form
Can you please fill out all the information below and fax or post back to Allied recruitment.

*Please note this form must be completed and sent back as soon as possible. Late forms will result in late payment. *

Section 1 – Is to be completed only if the bank account is in your name
Full Name

First NameLast Name
DayMonthYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bank Name
Bank Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Account Number (8 Digits)
Sort Code
Account Holders Name (As shown on card)
N.I Number
Tax Code
CIS Card No:
Signature
Section 2 - Is only to be completed should you wish to be paid into a different bank account
Third Party Bank Account Authorization Form
This form is to show that I
authorize the below named person to receive any monies due from Allied Recruitment Services into the mentioned account:
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship to temporary worker:Click to edit
Name of account holder
Bank/ Building Society
Account Number
Sort Code
Building Society ref/Roll No
Signature of Beneficiary
Terms & Conditions

I agree that Allied Recruitment services are not held responsible for any issue regarding funds once they have left Allied Recruitments account. All Queries regarding the whereabouts of funds should then be directed at the beneficiary.
Signature
Date
D.O.B

DayMonthYear
Full Name

First NameLast Name

CRIMINAL HISTORY
PLEASE COMPLETE THE FOLOWING SECTION ACCURATELY.
Spent convictions need not be declared in accordance with the Rehabilitation of Offenders Act 1974. Any information provided will not disqualify you from consideration for the post applied for.

Have you ever been convicted or found guilty by a court of an offence in this country (excluding parking but including all motoring offences), or have you been put on probation or absolutely/ conditionally discharged or bound over after being charged with any offence, or is there any action pending against you?
Do you have any convictions*

YesNo

If YES, please give details below. If no please type N/A

	Date Of Conviction	Nature Of Offence	Sentence Or Court Order

DECLARATION*

I declare that the information I have given is true and complete to the best of my knowledge and belief.I undertake to notify any material changes in the information I have given to the Company.If employed prior to the receipt of my references, an in upon receipt these should prove to be unsatisfactory, my assignment may be terminated without prior notice and upon payment only for days actually work by me.
Signature
Date

Opt-out Under Working Time Regulations
Name

First NameLast Name
Signature

Clear
Should be Empty:

	YES	NO
Diabetes Mellitus
Epilepsy
Frequent chest, throat or nose infection / disease
Back injury / backache
Joint injury
Ear infection
Rheumatism or rheumatic fever
Urinary problems or kidney disease
Infectious diseases (Mumps, Measles, German Measles, Tuberculosis, etc)
Heart disease
High blood pressure, chest pain, shortage of breath
Anxiety or depression requiring treatment
Nervous breakdown or debility arising from over work
Menstrual problems
Hemorrhoids
Dyspepsia or peptic ulcer
Hernia
Dysentery/ typhoid/ food poisoning
Any other stomach disorder
Varicose veins
Migraines or other frequent headaches
Hay fever, eczema or other allergies
Skin disorders
Fainting or giddiness
Poor eyesight (even when wearing spectacles/ contact lenses
Please give date when eyesight was last tested
Impaired hearing
Hepatitis

TRADES & LABOUR REGISTRATION PACK

Employment Registration Document

Next Of Kin

Employment Eligibility

Position Sought

Present Or Most Recent Employment

Previous Employment

IMMIGRATION & ASYLUM ACT – IDENTIFICATION PROOF

MEDICAL HISTORY QUESTIONNAIRE

FOR OFFICE USE ONLY

Bank Details Form

Third Party Bank Account Authorization Form

CRIMINAL HISTORY

Opt-out Under Working Time Regulations