Please complete this form fully to be added to our database and eligible for future work.

If you are already working for us, we require you to complete this form to update our records.

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* 1. First Name(s):

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* 2. Surname/Family Name:

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* 3. Home Address:

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* 4. Postcode:

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* 5. Contact Details:

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* 6. If you work for us indirectly via a sub-contract company, please state name of company:

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* 7. Please enter your Date of Birth:

Date

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* 8. Please enter your UTR and either your NI no. or CRN no.

PLEASE ENSURE THESE DETAILS ARE CORRECT.
INCORRECT INFORMATION COULD RESULT IN 30% TAX DEDUCTION.

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* 9. Please specify which languages you speak fluently.
DO NOT include any languages (inc. English) if you are not able to communicate clearly verbally & understand written documents.

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* 10. Please provide your next of kin in case of an accident or emergency:

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* 11. Do you have any existing medical conditions? Please give details

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* 12. Do you have any existing injuries? Please give details

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* 13. Do you have any HAVS related issues such as Vibration White finger?

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* 14. Do you have any lung conditions, such as COPD or Silicosis?

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* 15. Do you suffer from hearing loss?

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* 16. Are you taking any medication which may cause drowsiness?

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* 17. Do you have epilepsy or any other conditions which may cause fits or seizures?

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* 18. Do you have any allergies? Please give details

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* 19. Do you hold a CSCS card?

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* 20. If you answered yes to question 19, Please upload a photo of your CSCS Card, Front & Back.

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* 21. Please enter your trade from the dropdown menu

  Trade
Trade

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* 22. Do you have an NVQ?

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* 23. Please detail previous companies that you have worked for and/or previous experience/projects etc. Please also include length of time you have been working in your trade.

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* 24. All payments are paid by bank transfer therefore please enter the following details.  If you do not work for us directly, please enter 0 in each line.

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* 25. Please confirm you will have the following before commencing work with us -:

  Yes No N/A
1. Full PPE - Safety helmet, steel-cap boots, hi-viz waistcoat, glasses, gloves, earplugs.
2. £5m Public Liability Insurance.

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* 26. Copy of insurance, where applicable.

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* 27. Please confirm you will email or post us copies of the following documents for identity, eligibility and health & safety purposes. No payments will be made until these documents are received.
Please email documents to subcontract@stone-ceramic.co.uk stating your full name.

  Yes No N/A
1. Passport.
2. Driving Licence.
3. Visa/right to work documentation (if required).
4. £5m Public Liability Insurance cover confirmation - visit www.tradesmansaver.co.uk if you need to purchase

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* 28. Please upload a copy of your passport, if applicable.

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* 29. Please upload a copy of your driving licence, if applicable.

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* 30. Please upload a copy of your ID card, if applicable.

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* 31. I can confirm that the above information is correct and that I am medically fit to carry out the trade specified in Question 21.
I confirm acceptance to Stone & Ceramic Ltd's Sub-contractors Terms & Conditions (available on request).

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* 32. I confirm acceptance to Stone & Ceramic Ltd's Anti Bribery & Corruption Policy
(for the details of the policy please visit the Policies page on our website)

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* 33. I confirm acceptance to Stone & Ceramic Ltd's Anti-Slavery & human trafficking policy (for details of the policy please visit the Policies page on our website)

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* 34. It is a legal requirement for us to check your Right to Work Status, please visit the link to generate your share code: https://www.gov.uk/prove-right-to-work

Please enter the 9 Character Share Code & your date of birth below

Please write N/A if you're a British Citizen.

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* 35. If you plan to have sub-contractors working for you on our site(s), please enter their full names below and send copies of their GOV Right to work share codes & ID to Subcontract@stone-ceramic.co.uk.

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* 36. Please upload any other documents which you feel may be relevant.

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* 37. By typing your full name in the box below, you have digitally signed this part of the document.
I confirm that I will ensure my whole workforce have a valid Right to work status in the UK before works begin. If any changes occur, I will act immediately and inform the Accounts team at Stone & Ceramic.

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* 38. By typing your full name in the the box below you have digitally signed this document

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* 39. Enter today's date

Date

T