Contractor Account Signup

Just So You Know: The details below are your personal details held on file.

Personal Details

Title :

First Name :

Last Name :

Date of Birth :

Legal Gender :

National Insurance Number :

Email :

Address :

Telephone :

Mobile Number :

Agency You Work For :

Payment Details

Bank Details

Bank Name :

Account Name :

Sort Code :

Account Number :

Payment Frequency

Every Week Every Month Every Last Friday Every Two Weekly

Taxation Details

Please specify the following details to ensure you will pay the correct amount of tax.

This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.
Statement A

This is now my only job, but since last 6 April I have had another job, or have received taxable Jobseeker’s Allowance, Employment and Support Allowance or Incapacity Benefit. I do not receive a state or occupational pension.
Statement B

I have another job or receive a state or occupational pension.
Statement C

Tax Code :

Gross Pay, Tax YTD (if known) :

Income Tax, Tax YTD (if known) :

Leaving Date of previous employment (if applicable) :

Are you eligable to repay student loans :

Are you registered Blind :

Agreement

I agree to the contract attached* No contract available

Yes*

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