CIS Registration - Simplify

Title*

Forenames*

Surname*

Address Line 1*

Address Line 2

Address Line 3

Town

Postal Code*

Date of Birth*

Day

Month

Year

Mobile Telephone*

Home Telephone

Email Address*

Confirm Email Address*

NI Number*

Gender*

Nationality*

UTR Number*

Self-Employment Type

If your UTR number is that of a Company please provide the following:

Full Company Name

Company Reg Number

Are you VAT registeredYesNo

Job Title*

Rate of Pay

Rate*

Employment Agency (if applicable)

Contact Name

Contact Telephone Number

Contact Email Address

End Client

Site / Address

Assignment Start Date

Are you aware when the Assignment will end?

Please enter the Assignment end date.

Do you expect the assignment to last more than 4 concurrent weeks

You will need to submit a primary copy of ID to Simplify Contracting Services. You can submit this to us online, or post/email this to us if you prefer (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*

Upload ETW document*

Will return by post

Are you the account holder*

Name of Bank*

Bank Sort Code*

Name as it appears on the bank account*

Bank Account Number*

Email Address of the bank account holder(note. this should not be your email address).

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 Simplify and that data processing inline with our privacy policy will be conducted.

How did you hear about Simplify

Name of Contractor

Name of Agency

By providing my details to you I confirm and acknowledge:
That it is my intention to use Simplify 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 Simplify immediately should my expectation become that an assignment will be extended past the 24 month point.
That it is a requirement to supply Simplify 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 Simplify 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 Simplify 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

Are you working in the construction industry and genuinely self employed?YesNo

Signed (please enter your name)

Join Simplify CIS

Personal Details

Contract Details

Identification Details

Bank Details

Source of Referral

Confirmation

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