Registration – Recruitment Brothers Ltd

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[user_registration_form id="225"]

User Registration

Name *

First

Last Name *

Last

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Password *

Enter Password

Confirm Password *

Confirm Password

Address *

Address

Zip/Postal

City

Country

Mobile Number *

National Insurance Number *

Date of Birth

Day *

Month *

Year *

Nationality *

I am a UK citizen and have resided in the UK since birth

I am a UK citizen with a UK Passport but was born outside the UK

I am not a UK citizen but was born in Europe and hold a passport from a European county outside of the UK

I am not a UK or European citizen and hold a passport for a non EU country

Do you have the right to work in the UK *

Yes

No

Do you have a share code to prove your right to work in the uk *

Yes

No

Because you have answered No to the above question we will be in contact to help you obtain your share code so we can check your right to work status.

Please enter your 9 character share code *

Do you have a work visa to work in the UK? *

Yes

No

Please upload your work visa in the documents section on the my account page under other documents.

Passport Number or birth certificate number - (this is required if you have been asked to complete a security check for the position you have applied for)

What Type Of Work Are You Interested In *

HGV Class 1

HGV Class 2

7.5 Ton

Van

Warehouse

Labourer

Trade Skilled

Office / Admin

Security

OtherOther

Driving Licence Number *

Next Of Kin - Name *

Next Of Kin - Telephone Number *

Do you have any unspent or pending convictions under the rehabilitation of offenders act 1974? *

Please Give Details

Do You Have Any Medical Conditions That Will Effect Your Work *

Please Give Details

What payment method will you be using for this employment *

Company Name *

Company Number *

Bank Account Name *

Bank Account Number

Bank Account Sort Code *

Are you VAT Registered? *

VAT Number *

Please complete details for your last 2 employers

Employer 1

Company Name *

Address

Contact Name

Phone

Employment start date

Employment end date

Employer 2

Company Name *

Address

Contact Name

Phone

Employment start date

Employment end date

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If you are human, leave this field blank.

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