Candidate Registration Form

To be filled out by all new starters before undertaking work for

All Bases Covered Recruitment

Name

Middle Name (Optional)

Surname

Date of Birth

Telephone

Address

Name on Bank Account

Account Number

Sort Code

Nationality

Do you consider yourself to be disabled under the Disability Act? Please explain

Do you have a criminal record / any unspent convictions? If yes, what for?

National Insurance Number

Please upload a copy of your Birth Certificate or Passport, plus something showing your national insurance number. Also a copy of a visa if applicable.

Is this your only job since April

Yes No

If no, who do you currently work for?

Please upload a copy of your P45

Would you like to opt out of the pension scheme?

Yes No

Next of Kin: First Name

Next of Kin: Surname

Next of Kin: Telephone

Next of Kin: Address

Where did you hear about us?

Type of work looking for?

Previous experience?

Please upload any further documents relevent to your registration. E.g. Licence