CONTRACTOR SIGN UP FORM

By completing the following forms you are signing up with Richfield Personnel Ltd, some of your details will be shared with our payment partners A&M Outsourcing Limited who provide our payroll services.

This is step 1 which is the initial form below, once this is completed you will be forwarded on to complete and sign an induction pack using our digital e-sign system from docusign (step 2)

Step 1

Name

Title*:

First Name*:

Middle Name(s):

Last Name*:

Company Name (if you are a registered company):

Companies House Number (if you are a registered company):

Home Address

House Number/Name*:

Address Line 1*:

Address Line 2:

Town/City*:

County*:

Postcode*:

Contact Details

Telephone Number*:

Email Address*:

Other Information

Date of Birth*:

National Insurance Number:

Company UTR Number (or Personal UTR if not Company)*:

VAT Number (If Applicable):

Bank Details

Name of Account Holder*:

Bank Name*:

Sort Code*:

Account Number*:

Building Society Reference:

Proof of ID

ID'S must be scanned or photographed clearly and be on a white background to be accepted.

Please upload the following:

- Passport (plus Work VISA/Biometrics card if required)

- Proof of National Insurance (eg. NI Card, P45, P60, Wage Slip).

Maximum Total File Size: 50MB.

Employment Information

Job Title:

Sentinel Number*:

Competencies

Please tell us about which rail, civil and skilled competencies you have so that we can assign you appropriate work.

Safety Critical

Track

Signalling

Plant

Civil

Skilled

Data Privacy

By ticking the below box you agree to the Richfield Personnel GDPR Privacy Policy

By ticking the below box you also agree to A&M Outsourcing's GDPR Privacy Policy

Asset I.D - PURP1

Manufacturer - Seawood

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Date of last company inspection - 01/02/2020

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Inspected By - Max Busher

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Calibration Expiry - 01/11/2020

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