Agreement with the Limited Company Contractor (Terms of Engagement)

Registration Form – Commercial

Type of work ……………………………......

Salary

…………………………..…………………………………………………………………………………………………………………..

If you have any future holidays please give details:

…………………………………………………………………………………………………………………………………………….…

National Insurance Number

……. ……. ……. ……. ……. ……. ……. ……. …….

Circle the appropriate

TemporaryPermanentBoth (Please circle)

Do you hold a full driving licence – Yes / No

Do you have your own transport – Yes / No

Personal Details

Mr / Mrs / Ms / other (please circle)

Name……………………………………….………………………………………………………………………………….………..

Address

………………………………………………………………………………………………………………………………………………

…………………………………………….. Postcode…………………………………………………………………………...…..

Home Phone Number …………………………………………………………………………………………………….…..

Mobile Number……………………………………………………………………………………………………………….…..

Email Address……………………………………………………………………………………………………………………….

Emergency Contact (name)……………………………………………………………………………………………………

Emergency Contact Phone Number………………………………………………………………………………………..

Do you have any health issues or disabilities that could affect you on a day to day working basis?Yes / No (please circle)

If yes please give details

………………………………………………………………………………………………………………………………………………

How many days of work have you missed in the last 12 months? ……………………………………………….

Are you a smoker:Yes / No

Employment History

COMPANY NAME ………………………………………………………………………………………………………………….

Company Address

…………..…………………………………………………………………………………………………………………………………..

…..…………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………….

Position Held

……………………………………………………………………………………………………………………………………………….

DatesSalary/rate per hour

………………………………………………………………………………………..……………………………………………………..

Reason for leaving

………………………………………………………………………………………….……………………………………………………

Duties

…………………………………………………………………………………………..…………………………………………………..

……………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………..………………………………………………………..

………………………………………………..……………………………………………………………………………………..………

COMPANY NAME ………………………………………………………………………………………………………………………

Company Address

…………..………………………………………………………………………………………………………………………………..…

…..……………………………………………………………………………………………………………………………………..……

…………………………………………………………………………………………………………………………………..…………..

Position Held

……………………………………………………………………………………………………………………………..………………..

DatesSalary/rate per hour

……………………………………………………………………………………………………………………………………..………..

Reason for leaving

…………………………………………………………………………………………………………………………………..……….….

Duties

…………………………………………………………………………………………………………………………………………….…

……………………………………………………………………………………………………………………………………………….

………………………………………………..……………………………………………………………………………………..………

COMPANY NAME ………………………………………………………………………………………………………………………

Company Address

…………..…………………………………………………………………………………………………………………………………..

…..…………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………….

Position Held

……………………………………………………………………………………………………………………………………………….

DatesSalary/rate per hour

………………………………………………………………………………………..……………………………………………………..

Reason for leaving

………………………………………………………………………………………….……………………………………………………

Duties

…………………………………………………………………………………………..…………………………………………………..

……………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………..………………………………………………………..

………………………………………………..……………………………………………………………………………………..………

COMPANY NAME ………………………………………………………………………………………………………………………

Company Address

…………..………………………………………………………………………………………………………………………………..…

…..……………………………………………………………………………………………………………………………………..……

…………………………………………………………………………………………………………………………………..…………..

Position Held

……………………………………………………………………………………………………………………………..………………..

DatesSalary/rate per hour

……………………………………………………………………………………………………………………………………..………..

Reason for leaving

…………………………………………………………………………………………………………………………………..……….….

Duties

…………………………………………………………………………………………………………………………………………….…

……………………………………………………………………………………………………………………………………………….

………………………………………………..……………………………………………………………………………………..………

Reference Details

Name of Referee

……………………………………………………………………………………………………………………………………………….

Position

……………………………………………………………………………………………………………………………………………….

Company

……………………………………………………………………………………………………………………………………………….

Contact Number

……………………………………………………………………………………………………………………………………………….

E-mail Address

……………………………………………………………………………………………………………………………………………….

Name of Referee

……………………………………………………………………………………………………………………………………………….

Position

……………………………………………………………………………………………………………………………………………….

Company

……………………………………………………………………………………………………………………………………………….

Contact Number

……………………………………………………………………………………………………………………………………………….

E-mail Address

……………………………………………………………………………………………………………………………………………….

Declaration

I confirm the information I have given is true and correct. I consent that my information will be sent to third parties to verify the information I have given, that will be used to help me gain new employment.

Candidate Signature:-……………………………………………………………………… Date:-………………………………..

Print Name:-…………………………………………………………………………………………

Name: …………………………………………………………………………………………………………….…..

Do you have any unspent* criminal convictions?

Yes / No (delete as applicable)

If yes, please list your criminal convictions and their dates below subject to thefiltering rules (see above). The information you give will be treated in confidence and only taken into account where, in the reasonable opinion of All-Temps Recruitment, the offence is relevant to the post for which you are applying.

*A conviction will become spent after a ‘rehabilitation period’. A list of these periods is attached and will depend on the sentence received in Appendix 1.

…………………………………………………………………………………………………………………………………………………………………………

Section 2:

As an exception to the Rehabilitation of Offenders Act 1974, for certain roles and professions you are required to disclose all spent and unspent convictions. The attached DBS checks: eligibility guidance in Appendix 3 explains who is eligible for DBS checks but anyone doing such work must disclose spent and unspent convictions (subject to the filtering rules). If this is relevant to work that you are seeking please list all criminal convictions (spent and unspent) and their dates below, subject to thefiltering rules.

If this section does not apply to you please write ‘not applicable’

…………………………………………………………………………………………………………………………………………………………………………

I can confirm that I have been interviewed face to face by a consultant of All-Temps Recruitment.
I authorise All-Temps to carry out a Disclosing and Barring check (eligibility guidance see Appendix 2).
I authorise my referees to release my personal information
I authorise All-Temps to release my details to a third party for audit purposes.

Candidate Signature:- ……………………………………………………………………………………………..…

Date:- …………………………………………………………………………………………………………..………

Consultant Signature:-………………………………………………………………………………..………………

Date:-……………………………………………………………………………………………………………..…….

Confidentiality Agreement:-

Means any and all confidential commercial, financial, marketing, technical or other information or data of whatever nature relating to the Hirer or Employment Business or their business or affairs (including but not limited to these Terms, data, records, reports, agreements, software, programs, specifications, know-how, trade secrets and other information concerning the Assignment) in any form or medium whether disclosed or granted access to whether in writing, orally or by any other means, provided to the Agency Worker or any third party in relation to the Assignment by the Hirer or the Employment Business or by a third party on behalf of the Hirer whether before or after the date of these Terms together with any reproductions of such information in any form or medium or any part(s) of such information;

In order to protect the confidentiality and trade secrets of any Hirer and the Employment Business and without prejudice to every other duty to keep secret all information given to it or gained in confidence the Agency Worker agrees as follows:

not at any time, whether during or after an Assignment (unless expressly so authorised by the Hirer or the Employment Business as a necessary part of the performance of its duties) to disclose to any person or to make use of any of the trade secrets or the Confidential Information of the Hirer or the Employment Business with the exception of information already in the public domain;

to deliver up to the Hirer or the Employment Business (as directed) at the end of each Assignment all documents and other materials belonging to the Hirer (and all copies) which are in its possession including documents and other materials created by him/her during the course of the Assignment; and

not at any time to make any copy, abstract, summary or précis of the whole or any part of any document or other material belonging to the Hirer except when required to do so in the course of its duties under an Assignment in which event any such item shall belong to the Hirer or the Employment Business as appropriate.

Candidate Signature:-………………………………………….. Date:-………………………………..

Print Name:-……………………………………………………………………………………..

Working Time Regulation 1998

The Working Time Regulations 1998 provide that the Agency Worker shall not work on an Assignment with the Client in excess of the Working Week unless s/he agrees in writing that this limit should not apply.

Therefore, please indicate from ticking the correct box below, whether you wish to be limited by the 48 hours working restriction or if you wish to exempt yourself.

The agency member of staff can change their decision at any time, but notifying All-Temps Recruitment in writing with a notice period of up to 3 months.

I wish to be limited to the 48 hour working week

I wish to exempt myself from the 48 hour working week

Candidate Signature: - ……………………………………………………………………Date: - ………………………………

Print Name: - …………………………………………………………………………………………………………….

Data Protection:-

Means the Data Protection Act 1998, any applicable statutory or regulatory provisions and all European Directives and regulations in force from time to time relating to the protection and transfer of personal data;

The Agency Worker warrants that in relation to these Terms, s/he shall comply strictly with all provisions applicable to him/her under the Data Protection Laws and shall not do or permit to be done anything which might cause the Employment Business or the Hirer to breach any Data Protection Laws.

The Agency Worker consents to the Employment Business, any other intermediary involved in supplying the services of the Agency Worker to the Hirer (now or in the future), and the Hirer:

Processing his/her personal data for purposes connected with the performance of the Assignment and pursuant to these Terms; and

Exporting and/or processing his/her personal data in jurisdictions outside the European Economic Area for purposes connected with the performance of these Terms.

Candidate Signature:-………………………………………….. Date:-………………………………..

Print Name:-……………………………………………………………………………………..