Registration - FMS Fairmead

Registration Form

First Name *

Last Name *

Trade or Skill *

Trade or Skill 2

Postcode *

Address *

City *

County

National Insurance Number *

Nationality *

Date Of Birth *

Home Telephone Number *

Mobile Telephone Number *

Email Address *

Do you suffer from any medical conditions, which may impede your ability to work on behalf of one of Fairmead's clients? If so please provide details of all conditions, if none please type NONE *

How will you provide your services? *

PAYE

Unique Tax Reference(UTR)

Details of any criminal convictions you may have, if none please type NONE *

Emergency Contact

Name *

Contact Number *

Back Next

Reference 1

Referee Company Name *

Contact Name *

Contact Number *

Job Title *

Work Undertaken *

Reference 2

Referee Company Name

Contact Name

Contact Number

Job Title

Work Undertaken

Back Next

Please upload, where appropriate, the following information as either a scanned image or photograph.
If you are unsure please proceed with your application and you will be contacted by Fairmead.

IDENTIFICATION DOCUMENTS

Please select the document you wish to attach

British Passport
British Birth Certificate + Official proof of National Insurance (full page for both)
EU Passport/Identity Card + Share Code
VISA/BRP + Share Code

PASSPORT

VISA – BIOMETRICS

SHARE CODE – FOR EU SETTLEMENT AND BRP

QUALIFICATION DOCUMENTS

Please attach a valid, in date CSCS Card.

CSCS CARD

If applicable – any other relevant tickets/qualifications you hold.

OTHER RELEVANT QUALIFICATIONS

By clicking the SUBMIT button below I confirm to best of my knowledge that the information given on this form is true and accurate and that I will inform Fairmead Managed Services Limited immediately of any changes to the information provided on this form.

Security Check *

I'm not a robot

reCAPTCHA

Privacy - Terms

Back Submit