CIS registration form

Please complete the short form below to register to our CIS sole trader payroll service.

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 Tax Information
Please provide us with the following information about your tax affairs.
Are you CIS registered?*
- Yes
- No
What is your Unique Tax Reference (UTR) number?*
What is your trading name?
Are you VAT registered?*
- Yes
- No
If you are VAT registered, please upload a copy of your VAT Registration Certificate.*
Drop files here or

Max. file size: 4 MB, Max. files: 5.
Please click on the button to upload your VAT Registration Certificate (photographs, scanned version or PDF only). Please note, you can upload multiple files in the following formats – PNG, JPEG, JPG, DOC, DOCX, PDF. There is a maximum file size of 20MB.

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*
What is the name of your end-client - the business you will be working for in this assignment?*
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.
Your Declaration*
I confirm that the information I have submitted into this registration form is accurate.
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.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.