Logistics Registration Form

Page 1 of 16

I CONFIRM THAT THE INFORMATION PROVIDED IS CORRECT AND CAN BE VERIFIED BY REFERENCES FROM PREVIOUS EMPLOYERS AND / OR PROFESSIONAL BODIES SPECIFIED. I UNDERTAKE TO INFORM KCJ TRAINING AND EMPLOYMENT SOLUTIONS OF THE OUTCOME OF ALL INTRODUCTIONS AND / OR INTERVIEWS TO COMPANIES OR AGENTS. I UNDERSTAND THAT INFORMATION I HAVE DISCLOSED MAY BE HELD WITHIN A COMPUTER DATABASE. I HEREBY GIVE MY PERMISSION FOR INFORMATION I HAVE DISCLOSED BE DIVULGED TO COPMPANIES OR AGENT DEEMED NECESSARY BY KCJ TRAINING AND EMPLOYMENT SOLUTIONS IN RELATION TO MY APPLICATION FOR WORK. PURSUANT TO THE REHABILITION OF OFFENDARS ACT, I DECLARE THAST I HAVE NO UNSPENT CONVICATIONS AND THERE ARE NO PROSECUTIONS PENDING AT THIS TIME. I ALSO UNDERTAKE TO INFORM KCJ TRAINING AND EMPLOYMENT SOLUTIONS OF ANY PROSECUTIONS THAT OCCUR. I CONFIRM THAT I HAVE READ AND ACCEPETED THE ISSUE TERMS OF ENGAGEMENT / CONTRACT OF EMPLOYMENT WHICH CONFIRMS THE MINIMUM HOURLY RATE OF PAY I WILL BE PAID FOR ASSIGNEMTNS. WHILST ON ASSIGNMENTS FROM KCJ TRAINING AND EMPLOYMENT SOLUTIONS I WILL ENSURE MY SIGNED TIMESHEET IS RETURNED TO THE BRANCH BY 10AM ON THE MONDAY FOLLOWING THE WEEK OF WORK. WHILST ON ASSIGNEMTN FROM KCJ TRAINING AND EMPLOYMENT SOLUTIONS I WILL REGARD ALL AVAILABLE INFORMATION AS CONFIDENTIAL AND I WILL NOT DIVULGE IT TO ANY THIRD PARTIES PLUS I WILL COMPLY WITH THE HEALTH AND SAFETY REGULATIONS OF ALL THE COMPANIES / AGENTS I AM ASSIGNED TO.

1. RESTRICTIONS 1.1 THE WORKING TIME REGULATIONS 1998 PROVIDE THAT THE WORKERS SHALL NOT WORK ON AN ASSIGNMENT WITH THE CLIENT IN EXCESS OF THE WORKING WEEK UNLESS HE / SHE AGREES IN WRITING THAT THIS LIMIT SHOULD NOT APPLY. 2. CONSENT 2.1 THE WORKER HEREBY AGREES THAT THE WORKING WEEK LIMIT SHALL NOT APPLY TO THE ASSIGNMENT. 3. WITHDRAWL OF CONSENT 3.1 THE WORKER MAY END THIS AGREEMENT BY GIVING THREE MONTHS NOTICE IN WIRTING. 3.2 FOR THE AVOIDANCE OF DOUBY, ANY NOTICE BRINGING THIS AGREEMENT TO AND END SHALL NOT BE CONSTRUED AS TERMINATION BY THE WORKER OF AN ASSIGNMENT WITH A CLIENT. 3.3 UPON THE EXPIRY OF THE NOTICE PERIOD THE WORKING WEEK LIMIT SHALL APPLY WITH IMMEDIATE EFFECT. 4. THE LAW 4.1 THE TERMS ARE GOVERNED BY ENGLISH LAW AND ARE SUBJECT TO THE EXCLUSIVE JURISDICTION OF THE ENGLISH COURTS.

I have read and understood the Manual Handling Leaflet which has been provided to me by KCJ Training and Employment Solutions Limited. Where possible I will always strive to follow the guidelines and protect my safety whilst on assignments for KCJ Training and Employment Solutions Limited. I will always consult my direct Supervisor or KCJ Training and Employment Solutions Limited should I need clarification on any point regarding Manual Handling.

ALL EMPLOYERS MUST HAVE A HEALTH AND SAFETY POLICY STATING WHO IS RESPONSIBLE FOR HEALTH AND SAFETY AND THE HEALTH AND SAFETY ARRANGEMENTS IN PLACE. ALL TEMPORARY WORKERS HAVE A DUTY UNDER HEALTH AND SAFETY ACT TO TAKE REASONABLE CARE TO SAFEGUARD THEIR OWN SAFETY AND THE SAFETY OF ANYONE WHO MAY BE AFFECTED BY THEIR WORK ACTIVITIES AND ACTIONS AND TO CO-OPERATE WITH THE CLIENT AND OTHERS IN MEETING STATUTORY REGULATIONS. IT IS YOUR RESPONSIBILITY TO FAMILIARISE YOURSELF WITH THE CLIENTS POLICY, PARTICULARLY THE PROCEDURES FOR FIRE, FIRST AID AND ACCIDENTS UPON ARRIVAL AT THE CLIENTS PREMISES. THE ACT ALSO REQUIRES WORKERS NOT TO INTERFERE WITH OR MISUSE ANYTHING PROVIDED TO PROTECT THEIR HEALTH, SAFETY AND WELFARE COMPLIANCE WITH THE ACT. IN COMPLIANCE WITH THE WORKING TIME REGULATIONS THE PURPOSE OF THIS DECLARATION IS TO ASSESS YOUR FITNESS TO CARRY OUT NIGHT WORK WHILST ON ASSIGNMENT FROM KCJ TRAINING AND EMPLOYMENT SOLUTIONS LIMITED.

IF YES, ARE THEY BASED ON THE BELOW?

I AGREE TO INFORM KCJ TRAINING AND EMPLOYMENT SOLUTIONS LIMITED OF ANYTHING OCCURRING WHICH MAY AFFECT MY DRIVING ABILITY. I HEREBY ACKNOWLEDGE THAT WHILST I WILL BE ON ASSIGNMENT FOR KCJ TRAINING AND EMPLOYMENT SOLUTIONS LIMITED, I WILL BE A TEMPORARY SERVANT OF THE CLIENT TO WHOM I AM ASSIGNED TO AND WILL ACCORDINGLY REMAIN DURING THE TERM OF EACH AND EVERY ASSIGNMENT UNDER THE DIRECTION AND CONTROL OF THE CLIENT TO WHOM I AM ASSIGNED TO AS TO WHAT I DO AND THE MANNER IN WHICH IT IS DONE.

I hereby give permission for KCJ Training and Employment Solutions Limited to use the below information to periodically (and at their own discretion) check my driving licence for any endorsements that may effect the work I undertake for them and their clients. I agree that should any of this information change, I will immediately inform KCJ Training and Employment Solutions Limited of this.