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Title

First name ^*

Last name ^*

Email ^*

Password ^*

Password Confirmation ^*

Nationality ^*

Upload Selfie ^*

Client / Agency ^*

Are you happy for SHMS Contracting to share your data with the Client / Agency? ^*

Yes

Trading Status: Tick as applicable ^*

Sole Trader

Ltd Company

Partnership

National Insurance Number ^*

Unique Tax Reference Number ^*

Have you registered under the CIS scheme by calling HMRC on 0300 200 3210?

Address1 ^*

Address2

Town ^*

County

Postcode ^*

Have you lived at this address for more than 3 years? ^*

Yes

Date of birth ^*

Home tel

Mobile tel ^*

Name of Bank or Building Society

Branch

Sort Code ^*

Sort Code Confirmation ^*

Account No ^*

Account No Confirmation ^*

Account Holder’s Name ^*

Account Holder’s Name Confirmation ^*

Roll Number (for Building Society account)

Next of kin

Next of kin contact No

Next of kin relationship

CSCS/CPCS card? ^*

Yes

Qualifications/Experience ^*

Years worked in the construction industry ^*

Signed (Full Name) ^*

Do you agree with the Terms of Engagement

Terms of engagement (Full Name) ^*

Do you agree with the Self-employed Status Declaration

Self-Employed Status Declaration (Full Name) ^*

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