Registration form

Please complete the short registration form below to join Churchill Knight Umbrella.

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Your Title and Address
Please complete the fields below with your information. Every field with a * is required in order to successfully submit the form. If you have any questions, please contact us.
Title*
Forenames*
Surname*
Address 1*
Address 2
Address 3
County
Post Code*
Country*
Home Telephone
Mobile Telephone*
Email*

Your Date of Birth and Nationality
Please complete the fields below with your information. Every field with a * is required in order to successfully submit the form. If you have any questions, please contact us.
Date of Birth*
DD slash MM slash YYYY
Nationality*
Passport/ID Number
Passport/ID Country of Issue*
National Insurance Number*
Student Loan Repayments?*
- Yes
- No
- Not Sure
Where did you find Churchill Knight Umbrella?*
Please let us know the name of the contractor who referred you*
Please specify:*

Your Banking Information
To ensure we can pay you on time, please provide us with the following information regarding your banking.
Your Bank/Building Society Name*
Account Number*
Sort Code*
Building Society Reference (if applicable)

Your Assignment Information
We need to know some information about your assignment. Please complete the following:
Recruitment Agency*
Recruitment Consultant Name*
Recruitment Consultant Email*
Recruitment Consultant Phone*
Your Assignment Start Date
DD slash MM slash YYYY
Is your assignment a fixed term contract or open-ended contract?*
- Fixed Term Contract
- Open-Ended Contract
As your contract is fixed term, how many months will it run for?*
Your Job Title*
Have you previously worked at the same site within the last three months?*
- Yes
- No
Are you paid an Hourly or Daily Rate?*
- Hourly
- Daily
Hourly Rate of Pay*
Daily Rate of Pay*

Terms of Service and Declaration
Please read the following thoroughly and click accept if you are happy to proceed.
Terms and Conditions of Service*
I accept the terms and conditions of service.
Your pay and your holiday pay will be determined in accordance to the National Minimum Wage and Working Time Directive.
Churchill Knight Umbrella will deduct our margin from your pay as agreed and you are confirming you are happy for us to do this.
Churchill Knight Umbrella must have confirmation of your working hours and rates, supported with a correctly signed timesheet before you receive your payments. We will not send you any funds until we have received your funds from your recruitment agency/end client.
Bank Holidays may affect you receiving your payments on schedule.
Churchill Knight Umbrella run payroll daily (Monday to Friday) and will pay you in accordance to your agreed schedule when all the necessary processes from yourself have been completed and we have received your funds into our account. Churchill Knight Umbrella will not negotiate changing your payment frequency and we do not hold onto your funds once we have received them. You must contact your recruitment agency to change your payment schedule.
By submitting this form, you are confirming that you have had no incidences that could bring Employers’ Liability or Public Liability insurance into effect since your first communication with Churchill Knight Umbrella and the submission of this form. Any previous and current cases regarding possible insurance claims that you are involved in have been discussed with Churchill Knight Umbrella prior to submitting this form.
Your Declaration*
I confirm I understand the information provided and I have completed this form accurately.
I understand how Churchill Knight Umbrella works and have a full understanding of the processes involved.
When I am officially an employee of Churchill Knight Umbrella, I understand my payments will be sent to my bank account from Churchill Knight Umbrella (as my employer).
When I send this completed form to my recruitment agency or directly to Churchill Knight Umbrella, I consent to Churchill Knight Umbrella storing and using my personal and sensitive data. I also accept that my information may be passed on to third parties such as Trade Unions and providers of contractor insurances if required.
I confirm that I have completed this form accurately and have provided the correct information.
I have/will provide Churchill Knight Umbrella with a photocopy of my passport and a contract of employment that I have read, understood and signed.
I confirm that Churchill Knight Umbrella can contact my recruitment agency and/or end client and share information directly related to my assignment.
I understand that completing this form does not automatically make me an employee of Churchill Knight Umbrella. I will only become an employee of Churchill Knight Umbrella when both parties (Churchill Knight Umbrella and myself) have signed a contract of employment.
I understand that by signing and submitting this document to my recruitment agency or directly to Churchill Knight Umbrella that I accept the terms and conditions and the declaration.
Ongoing Communication*
I confirm I am happy to receive information from Churchill Knight Umbrella about my payroll and updates to the service.
Churchill Knight Umbrella is partnered with Specialist Financial Advisers. Please let us know if you’re interested in finding out how they can help you increase your wealth. There is no obligation to use their service.*
- Yes – I want to find out more about how I can increase my wealth. Please pass on my contact details (phone and email) to a Financial Adviser.
- No – I am not interested in finding out more about how I can increase my wealth. Please do not pass on my contact details (phone and email) to a Financial Adviser.
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Name
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