Registration Form – KHR Forms

Equal opportunities
KHR Recruitment Specialists is committed to a policy of equal opportunities for all work seekers and shall adhere to such a policy at all times and will review on an on-going basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally irrespective of gender, sexual orientation, gender reassignment, marital or civil partnership status, age, disability, colour, race, nationality, ethnic or national origin, religion or belief, political beliefs or membership or non-membership of a trade union and we place an obligation upon all staff to respect and act in accordance with the policy.

KHR Recruitment Specialists shall not discriminate unlawfully when deciding which candidate/temporary worker is submitted for a vacancy or assignment, or in any terms of employment or terms of engagement for temporary workers. KHR Recruitment Specialists will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualification and ability to perform the relevant duties required by the particular vacancy.

Candidate details

Name:*

First and last names are mandatory

Home address and postcode:*

Contact number:*

Email:*

Date of birth:*

Proof of ID*

Please upload your Right to Work document which will either be a photo of your Passport or your Birth Certificate or your Biometric Card (Both Sides) (1 only)

National Insurance number:*

No National Insurance number then add date of birth and gender

Proof of NI Number

Please upload either a photo of a letter showing your National Insurance Number ONLY if you uploaded a copy of your birth certificate above or the other side of your Biometric Card (1 image only)

Share Code:

Overseas workers will need to prove their Right To Work by sharing their ‘share code’. This will enable us to view your immigration status online.

Criminal record disclosure

Before completing this section please read our policy regarding candidates with criminal convictions.

We are asking you to complete this form in relation to job roles which are not exempt from the Rehabilitation of Offenders Act 1974. For this reason, you are only required to disclose information about unspent convictions. You are not required to disclose spent convictions on this form.

Additionally, you are not required to declare any information about ‘protected’ offences – (offences to which the filtering rules apply). If you are unsure as to whether a conviction is unspent/spent or protected (filtered) please see https://www.gov.uk/exoffenders-and-employment for additional guidance or you can contact organisations such as NACRO or Unlock for further information

If you wish to be put forward for/if any role is identified which may be suitable for you but which is exempt from the Rehabilitation of Offenders Act 1974, meaning that you are required to disclose spent convictions, we will ask you to complete an additional criminal disclosure form. You are not required to complete that additional form if you do not wish to be put forward for that type of work.

Do you have any unspent criminal convictions?*

Yes
No

Please provide the offence dates, dates of conviction/caution, offence types and sentences below:

You are not required to provide any information about protected (filtered) offences.

If you have declared any convictions, you are welcome to provide us with any additional information that you think may be relevant and which will help us to determine your suitability to be put forward for roles with our clients. This could include for example information about the circumstances of the offence, any work (paid or voluntary) or training that you have undertaken since, change in your circumstances etc.

We will seek to put forward/supply the best possible candidates to our clients. Having a criminal conviction will not necessarily exclude you from the process.

The information given will be treated in the strictest of confidence and only taken into account where, in our reasonable opinion, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register if the offence is not declared but later comes to light. If you are working in an assignment with a client at the time that we are made aware of a conviction that have not disclosed to us, we may be legally required to inform our client of that information and your assignment may be terminated.

Qualifications, authorisations

Insert details of any professional qualifications required or authorisations required to work – these will differ according to sector

Health and Disability

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.

Do you have any health issues or a disability relevant to the role which may make it difficult for you to carry out functions which are essential for the role you seek?*

Yes
No

Please specify:

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc.?

Data Protection Statement
KHR Recruitment Specialists provides work-finding services to its clients and work-seekers. We must process personal data (including sensitive personal data) so that we can provide these services – in doing so, we act as a data controller. This is why we have asked for your personal data on this form. When we process your personal data, we must do so in accordance with data protection laws. Those laws require us to give you a Privacy Statement to explain how we manage your personal data. Please ask to see the Privacy Statement.

If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that KHR Recruitment Specialists will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).

Skills and experience - tick those that apply:

Specify:

Pay rate

Min. wage bracket (min)	Min. wage bracket (max)	Other	Min. Day Rate	Annual Salary

If you are working for one of our clients temporarily, please fill in your bank details, student loan, next of kin and select from statements A, B or C, so we can pay you.

Account name:

Sort code:

Account number:

Employee Statement/Starter Check List

This is my first job since 6th April and I have not been receiving taxable jobseekers’ allowance, employment and support allowance, taxable incapacity benefit, state or occupational pension
This is now my only job but since last 6th April I have had another job, or received taxable jobseekers’ allowance, employment and support allowance, employment and support allowance or taxable incapacity benefit. I do not receive a state or occupational pension.
As well as my new job, I have another job or receive a State or Occupational Pension.

Student Loan

Do you have a student loan which is not fully repaid?

Yes
No

Are you repaying your student loan direct to the student’s loans company by agreed monthly payments?

Yes
No

What type of Student loan do you have?

Plan 1
Plan 2

Did you finish your studies before the last 6th April?

Yes
No

Student Loan Plans
You will have a Plan 1 student loan if:
• You lived in Scotland or Northern Ireland when you started your course, or
• You lived in England or Wales and started your course before September 2012

You will have a Plan 2 Student loan if you lived in England or Wales and started your course on or after 1st September 2012

Next of Kin:

The phone numbers given above will only be used in an emergency

Name:	Phone numbers:

References

We require 2 references before we send you out to work

Please fill in the details below:

Reference 1

Company Name:

Address:

Telephone Number:

Contact Name:

Position:

Email Address:

Dates employed:

From:

To:

Reference 2

Company Name:

Address:

Telephone Number:

Contact Name:

Position:

Email Address:

Dates employed:

From:

To:

Character Reference

If you are unable to provide 2 work references, please provide the details of a character reference below:

Name:

Address:

Relationship To You:

Telephone Number:

Email Address:

Dates they've known you:

From:

To:

Terms of Engagement for Agency Workers

I have read and agree to the Terms of Engagement*

Signature*

Name:*

Date:*