Welcome to the Fortius Recruitment candidate registration form.
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First name *

 
Surname


 
Mobile number

 
Home number

 
Email address

 
Address

 
Driving licence

 
Do you have your own transportation

     
 
Education

 
Establishment

 
To

 
From

 
Qualifications

 
Grades

 
Establishment

 
To

 
From

 
Qualifications

 
Grades

 
Establishment

 
To

 
From

 
Qualifications

 
Grades

 
Employment history

 
Establishment

 
To

 
From

 
Address of Employer

 
Position

 
Salary

 
Reason for leaving

 
Contact Name

 
Contact number

 
Contact email address

 
Employment history

 
Establishment

 
To

 
From

 
Address of Employer

 
Position

 
Salary

 
Reason for leaving

 
Contact Name

 
Contact number

 
Contact email address

 
Employment history

 
Establishment

 
To

 
From

 
Address of Employer

 
Position

 
Salary

 
Reason for leaving

 
Contact Name

 
Contact number

 
Contact email address

 
Personal reference

 
Personal reference

 
Requirements

 
Type of work


 
Role

 
Minimum salary

 
Preferred Locations

 
Would you relocate?

     
 
Notice period

 
Availability


 
Declarations

 
Do you have any health issues or a disability relevant to the position or role you seek?


 
If yes, please specify

 
Agency Workers Regulation: In order to ensure you receive your full rights under the Agency Workers Regulations 2010, have you, in the past 6 weeks been hired by an employment business to carry out work for their clients?

     
 
If yes, please specify the clients, their location and your role:

 
Have you taken time off the assignments with the other employment business which may impact your qualifying period rights under the Agency Workers Regulations?

     
 
It is your responsibility to let Fortius Recruitment know if you take on any work through another agency while you are engaged by us

 
Do you have any unspent criminal convictions?

     
 
If yes, please list any unspent criminal convictions and their dates below. The information you will give will be treated in confidence and only taken into account where, in our reasonable opinion the offence is relevant to the post for which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.

 
Your Details. Some information provided on this form may be classed as sensitive data under the Data Protection Act 1998, for this we need your explicit consent to hold this information. By signing this declaration, I consent to you holding data and processing data under the rules of the Data Protection Act 1998. The name of the data registrar is available on request. I consent to my information being used for work-finding services and you may contact me by:


 
I understand that during and after an assignment:  

1. I will keep secret and confidential all information made available to me about any customer, any member of staff or the business of the client(s) I have been assigned to

2. I will keep all such information securely and will not disclose it nor allow it to be disclosed to any unauthorised person

3. Upon completion or end of my assignment, I will return all property, ID, paperwork and any associated items to a representative of yours or the client’s representative.

4. I understand that the above undertakings are terms of my assignment and should I break any of them, this may result in action, not excluding Civil or Criminal Prosecution being taken against me. This includes the Data Protection Act 1998 and any variations that may be made to this in the future

 
By signing this document, I confirm that I have read and fully understand the statements above and agree to abide by them. I also declare that all the information I have given is true and accurate to the best of my knowledge. I understand that failure to declare an accurate account of my working history may invalidate any claim I may have under the Agency Workers Regulations 2010. *


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