Best Staff Solutions - Registration Form

1. Employee Details

Surname *

Forenames *

Address *

Postcode *

Date of Birth *

Gender *

Male Female

National Insurance Number *

Telephone

Mobile *

Email *

2. Emergency Contact

Name of person to contact *

Relationship to you *

Telephone *

3. Bank Details

Bank Name *

Account Number *

Sort Code *

Account Name *

4. Starter Declaration

Please select one of the following statements:

This is my first job since last 6 April Only job since last 6 April but had another before As well as new job, I have another or receive pension

Student Loan types:

Type 1 Student Loan Type 2 Student Loan PostGrad Loan Type 4 (Scotland) Student Loan

Upload P45 (PDF/DOC) * Please upload your P45 document if available

Employment Start Date *

5. Work History (Two Previous Employers)

Previous Employer 1

Company Name *

Dates worked from *

to *

Position held *

Referee Name *

Referee Telephone *

Referee Email *

Previous Employer 2

Company Name *

Dates worked from *

to *

Position held *

Referee Name *

Referee Telephone *

Referee Email *

6. Employee Medical Questionnaire

Please answer the following questions truthfully to ensure your health and safety at work:

Do you have any serious health problems or illnesses? *

Yes No

Do you have limitations on your ability to perform work? *

Yes No

Do you have any health conditions that would create a hazard? *

Yes No

7. Agreements

I opt-in to work over 48 hours/week if required I acknowledge receipt of Contract & Handbook I confirm I have read and understand the Health & Safety Policy

8. Signature

Please sign below to confirm that all the information provided is accurate.

Full Name *

Digital Signature *

Date *

Review Your Information

Please review all information before submitting. You can go back to any section to make changes.