Industrial Registration

Step 1 of 9 – Personal Details

11%

Personal Details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone(Required)

Mobile(Required)

Email(Required)

Date of Birth(Required)

DD slash MM slash YYYY

National Insurance Number(Required)

Do you hold a Full UK Driving License?(Required)

Yes

Do you hold an FLT License?(Required)

Yes

How will you be travelling to work?(Required)

Next of Kin(Required)

Contact Number(Required)

Bank Details

Sort Code(Required)

Account Number(Required)

Bank Name(Required)

Full Name(Required)

Medical Details

Do you wear glasses at any time?(Required)

Yes

Do you suffer from any of the below? (Please Tick for Yes)

Faints, fits or blackouts

Back injury

Mental or nervous disorders

High or low blood pressure

Insulin treated diabetes

Heart disease

Arthritis

Asthma

Medical Attention

Have you ever been dismissed or refused employment on health grounds?(Required)

Yes

Are you receiving medical attention at present or taking any form of medication?(Required)

Yes

Do you have any registered disabilities that you are legally obliged to inform your employer?(Required)

Yes

Please enter specific details(Required)

Questions in relation to working 'Nights'

Have you ever worked regular shifts on nights?(Required)

Yes

Do you have any health concerns which you feel may prevent you from working at night?(Required)

Yes

Do you have a requirement to take medication (tablets, insulin) on a strict timetable?(Required)

Yes

Do you have heart or circulatory problems that could be aggravated by the additional stress and/or required stamina that night work may require?(Required)

Yes

Do you have stomach or intestinal disorders where the regularity timing of meals is important?(Required)

Yes

Do you have any medical conditions that affect the ability to sleep or are affected by changing sleep patterns?(Required)

Yes

Do you have any chronic chest or respiratory disorders that symptoms are significantly worse at night?(Required)

Yes

Do you have any chronic chest or respiratory disorders that symptoms are significantly worse at night?(Required)

Yes

Are you safe?

Have you paid anyone to get this job?(Required)

Yes

Do you have access to your own bank account?(Required)

Yes

Does anyone hold your bank card?(Required)

Yes

Does anyone else hold your passport/ID documents?(Required)

Yes

If you are in immediate danger, please call the police on 999. In the United Kingdom the police are here to serve and support you. You will also receive free medical assistance if required.

If you need advice or do not want to call the police you can call the Modern Slavery and Exploitation Helpline on 0800 0121 700 or The Salvation Army on 0800 808 3733. The Helpline team is there to help you and listen to your concerns. They will be able to advise you and suggest who can assist you locally.

If you want to talk to someone from Excel Resourcing anonymously, please email info@excelresourcing.co.uk or call/text 07385 592965.

Criminal Declaration

Have you ever been convicted of a criminal offence or been the subjection of a caution? You do not need to declare convictions, which are “spent” under the Rehabilitation of Offenders Act (1974)(Required)

Yes

Please state the nature and date(s) of the offence(s)(Required)

Confirmation Slip (Must be Returned to Branch with All Paperwork)

Work Preference

Companies I want to work for

Companies I don't want to work for

Industrial skills (please tick relevant box for which you have experience in)

Stock control

Re-work

Picking/packing

Loading/unloading

Unloading containers

Hand-held scanners

Computer skills

Goods in/out

Palletising/stacking

Data entry

Forklift conterbalance

Forklift reach truck

Forklift VNA

Forklift pivot/bendie

In a brief description, please explain an ideal job for you in regards to the nature of the job/shift pattern/times/duties(Required)

e.g – Mon-Fri – 02:00-06:00 start times – 10/12 hour shifts – Warehouse/occasional weekend work

Please confirm your preferred pay type, at Excel Resourcing we have the ability to pay any worker through their preferred solution. (Please tick or speak to a Excel rep to discuss further)

Umbrella

PAYE

When is the earliest date you are available to start work?(Required)

DD slash MM slash YYYY

At Excel Resourcing we work closely with trusted PAYE/Umbrella/LTD payroll businesses, if you are unhappy with any service you must contact us immediately.

References

Company name(Required)

Contact name(Required)

Contact number(Required)

Agency(Required)

Dates worked(Required)

Notes

Working time regulations 'opt out' contract

This agreement is made between Excel Resourcing whose registered office is situated at West End Ln, New Rossington, Doncaster DN11 0PQ.

Which is an employment agency and employment business and the temporary worker.

In this agreement the following further definitions apply:

‘Assignment’ means the period which the temporary worker is engaged to render service to A client.

‘Client’ means the person, firm or corporate body or hirer engaging the services of the temporary worker.

‘Working week’ means an average of 48 hours calculated over A 17-week reference period.

The Working Time Regulations 1998 provide that the Temporary worker shall not work on an assignment with a Client in excess of the Working Week unless he agrees in writing that this should not apply. The Temporary Worker hereby agrees that the Working Week limit shall not apply to the Assignment. The Temporary worker may end this agreement by giving Excel Resourcing 4 weeks’ notice in writing.

For the avoidance of doubt any notice bringing this agreement to an end shall not be construed as termination by the Temporary Worker of an assignment with a Client.

This Agreement is governed by the law of England & Wales/Scotland/ Northern Ireland and is subject to the exclusive jurisdiction of the Courts of England & Wales/Scotland/ Northern Ireland.

GDPR

In order to allow us to do this as quickly as possible and to minimise disruption for yourself and any potential referees it would be of assistance if you would sign the authority below.

I (full name)(Required)

hereby grant permission to Excel Resourcing to provide work finding services on my behalf. I permit for any information required, including details of my current and/or previous employment and/or academic history from, where applicable, my previous and or current employers including, if applicable, Jobcentre Plus, Department for Work and Pensions, School or College

Any such information obtained will be used strictly in accordance with the requirements of the ICO and the GDPR. For information on how we process your data please refer to your Excel rep.

Please upload any required documentation here

Share Code

Important Notes: Please upload all relevant right to work documents and all qualification cards/certificates:

Passport / Birth Certificiate / EU ID Card

Max. file size: 32 MB.