Perm/Temp Registration Form

Declaration:

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 COMPANIES OR AGENT DEEMED NECESSARY BY KCJ TRAINING AND EMPLOYMENT SOLUTIONS IN RELATION TO MY APPLICATION FOR WORK. PURSUANT TO THE REHABILITATION OF OFFENDERS ACT, I DECLARE THAT I HAVE NO UNSPENT CONVICTIONS 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 ACCEPTED THE ISSUE TERMS OF ENGAGEMENT / CONTRACT OF EMPLOYMENT WHICH CONFIRMS THE MINIMUM HOURLY RATE OF PAY I WILL BE PAID FOR ASSIGNMENTS. 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 ASSIGNMENT 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.

Employment History (Minimum of 2 Years)

You only need to complete this document if you have been employed in the past.

Instructions for Employees:

As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and help them use the correct tax code. Fill in this form then give it to your employer. Do not send this form to HMRC. It’s important that you choose the correct statement. If you do not choose the correct statement you may pay too much or too little tax. For help filling in this form watch our short youtube video, go to www.youtube.com/hmrcgovuk

Statement A

Statement B

Choose statement B if the following applies.Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following:• Jobseeker’s Allowance• Employment and Support Allowance• Incapacity BenefitDo not choose this statement if you’re in receipt of a State, Works or Private Pension.

Statement C

Choose statement C if:• you have another job and/or• you’re in receipt of a State, Works or Private Pension

Declaration: Please sign your name in this box if the provided information is correct.

Personal Data:

• Name


• Date of Birth


• Telephone


• Email


• Postal Address


• Experience


• Training and qualifications


• CV


• National Insurance Number


• Include any other relevant Personal data

Sensitive Data:

• Disability/Health condition relevant to the role


• Criminal convictions


• Include any other relevant sensitive personal data

I consent to the Company processing the above personal data for the following purposes:

For the Company to provide me with work-finding services. For the Company to process with or transfer my personal data to their client/s in order to provide me with work-finding services. For the Company to process my data on a computerised database in order to provide me with work-finding services. For the Company to process my data using automated decision making processes. Include any other relevant purposes for processing personal data

Further Consent:

I also consent to the Company processing my personal data with third parties for the purposes of internal audits and investigations carried out on the Company to ensure that the Company is complying with all relevant laws and obligations. I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.

Working Time Regulations 1998 - Opt Out Agreement

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. WITHDRAWAL 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.

Manual Handling Declaration:

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.

I HAVE READ AND COMPLETED THE ABOVE HEALTH & SAFETY DECLARATION TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT I MUST INFORM KCJ TRAINING & EMPLOYMENT SOLUTIONS LIMITED OF ANY CHANGES TO THE ABOVE PERSONAL INFORMATION THAT MAY AFFECT MY ABILITY TO UNDERTAKE ASSIGNMENTS.