Umbrella Registration Personal Details Title Forenames Surname Address Line 1 Address Line 2 Address Line 3 Town Postal Code Date of Birth Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulAugSepOctNovDec Year 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Mobile Telephone Home Telephone Email Address Confirm Email Address NI Number Gender Please SelectMaleFemaleOther Nationality Contract Details Job Title Rate Employment Agency (if applicable) Contact Name Contact Telephone Number Contact Email Address End Client Site / Address Assignment Start Date Advanced Holiday Pay As an employee of Exact Payroll Ltd, I understand that I have a statutory entitlement to paid annual leave. I understand that in order to fund my entitlement to paid annual leave, it will be necessary for Exact Payroll Ltd to set aside a reserve fund from the profits of my department, and that setting aside such a provision will reduce the sums which might otherwise be available to be paid to me as discretionary profit sharing bonus. Please continue to accrue my holiday I understand that you are willing on my request to make advances to me from such reserve fund, on the understanding that such advances shall be repaid by deduction from pay during annual leave, as and when I take such leave. I request you to make advances to me from such reserve fund, and agree that such advances shall be repaid by deduction from pay during annual leave, as and when I take such leave. I understand that repayment of these advances may result in no net sums being actually received by me between annual leave. I understand that I have the right at any time to ask you to cease making such advances to me. Please advance pay my holiday P45/P46 and Identification Details You will need to submit the following documents to Exact Payroll. You can submit details online, or print off documentation, complete, and post to us if you prefer (if you wish to post, please indicate by ticking the appropriate box in each instance). Primary Identification consists of either a copy of your Passport, or a copy of your Birth Certificate together with confirmation of your National Insurance number. Proof of ID * (Allowed File-format : pdf, txt, doc, docx, jpg, jpeg, png, gif, xls, xlsx, csv) I shall return this via post Eligibility to work in the UK Please SelectI am a UK CitizenI am a citizen of an EU countryI am a citizen of a non EU Country Do you have a P45 Please SelectNoYes Please provide your 'EU Share Code' Additional information in relation to 'EU Share Codes' can be found Here. Upload ETW document Will return by post Upload P45 Will return by post Bank Details Are you the account holder Please SelectYes Name of Bank Bank Sort Code Name as it appears on the bank account Bank Account Number Email Address of the bank account holder. You have indicated that the above bank details are in the name of a third party (e.g. the bank details are not in your name).We are required by law to ascertain that the appropriate consent to hold or process data is done so with the individual's explicit consent. Please tick here to confirm that you have received explicit consent from the individual that their details will be held by Exact Payroll and that data processing inline with our privacy policy will be conducted. Source of Referral How did you hear about Exact Payroll Please SelectRecommendation by ContractorRecommendation by AgencyWebsiteSearch EngineWord of MouthMagazineNewspaperUsed in pastOther Name of Contractor Name of Agency Confirmation By providing my details to you I confirm and acknowledge: That it is my intention to use Exact Payroll as my Umbrella company for more than one assignment; I believe that the assignments will be temporary in nature, each lasting less than 24 months, and I will inform Exact Payroll immediately should my expectation become that an assignment will be extended past the 24 month point. That it is a requirement to supply Exact Payroll with a valid copy of my ID, and where appropriate, Eligibility to Work documents, and that failure to do so will result in non-payment. That I understand my prospective payment method including any tax and NI deductions where applicable. That I understand that I will be required to sign a Exact Contract and that failure to do so will result in non-payment. That all information provided is true and accurate and is being provided with my full consent. I accept You agree to Exact Payroll holding your personal data. If you do not wish for us to hold or process your data, then we are unable to process the information within this form Privacy Policy Signed (please enter your name)
