• Job Title
    NI. Number
    Mobile Number
    Home Phone Number
    Date of Birth
    Emergency Contact
    Emergency C. Number
  • Please explain the basis on which you are entitled to work in the UK. e.g. UK/EU Citizen, Indefinite Leave to Remain. If you have a visa permitting work, please provide details of the type and expiry date

  • 3. REFERENCES

    Please provide the details of at least one referee. If you do not have professional referees, you may provide details of academic or personal referees.
  • Contact name:
    Position:
    Company name:
    Tel. no.
    E-mail:
  • Contact name:
    Position:
    Company name:
    Tel. no.
    E-mail:
  • Yes No
    Do you have any health issues or a relevant disability which may make it difficult for you to carry out functions which are essential for the role you are seeking?
  • Yes No
    Do you have any unspent criminal convictions?
  • If you are applying for a role which involves working with children or vulnerable adults, you may be required to disclose information about spent convictions. If applicable, we will request this information in a separate document.

  • 6. WORKING TIME REGULATIONS (FREELANCE ONLY)

    Under the Working Time Regulations 1998, you are not permitted to work more than an average of 48 hours per week unless you opt out. If you opt out, you will be permitted to work more than 48 hours per week but are not under any obligation to do so. You may withdraw your consent by giving us seven days’ notice in writing.
  • Yes No
    Do you wish to opt out of the 48 Hour Working Week?

  • 7. DECLARATION

    I confirm that the information provided in this form and on my CV is accurate and understand that giving false or misleading information may give rise to civil or criminal liability. I will notify Midland Recruitment without delay if any information becomes out of date or inaccurate.

    I acknowledge that Midland Recruitment will control and process personal data and sensitive personal data relating to me in accordance with their Privacy Notice

    I authorise Midland Recruitment to represent me in respect of potential opportunities. I will notify Midland Recruitment without delay if I have previously applied for a position directly or through any other recruitment business. Once I have authorised Midland Recruitment to submit my details for a position, I confirm that I will not apply for the same position directly or through any other recruitment business.

    I understand that Midland Recruitment is under no obligation to find an assignment for me and I am under no obligation to accept any offer of engagement. If I receive an offer of engagement through Midland Recruitment, I acknowledge that I must make reasonable enquiries of the hirer to ensure that the relevant position is suitable.

    I acknowledge that Midland Recruitment will act as an Employment Business when providing temporary work-finding services to me and as an Employment Agency when providing permanent work-finding services.
  • Please complete your name above to accept the terms and conditions of this form and agree to send your personal information to Midland Recruitement.
  • / /
  • Clear
    If you are able on a touch screen, mobile, tablet to sign please complete above.

  • Documents Required

    When returning this registration form to Midland Recruitment, please provide the following additional documents:
  • Proof of right to work : Valid passport/ID Card or full birth certificate
  • For EU citizens: SHARE CODE for employer
  • Proof of National Insurance: NIN card or P60/P45 or letter from Job Center/ HMRC (not payslips)
  • Proof of address: Utility bill or Bank Statement (with no bank transfer visible)
  • Proof of Bank Details: Bank Statement ( with no bank transfer visible) PLEASE DO NOT UPLOAD PICTURE OF YOUR BANK CARD