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I can confirm that I
have read this document fully and that all the information provided
to TLA Personnel is correct and to the best of my knowledge and
belief. I give consent to contact referees regarding the information I
have provided unless specified otherwise.
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I will inform TLA Personnel should anything change that might affect my position and I
understand the information given on this form will be processed by
computer and used for registration purposes, under the Data Protection
Act 1998.
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I understand that if I am at any stage charged or cautioned after signing this declaration, I must inform TLA Personnel.
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I acknowledge that I
have been given/requested a copy of the terms and conditions of service
issued by TLA Personnel, which is mine to keep, and furthermore
that I have read those terms and conditions and agree to abide by them.
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I am not aware of any condition, medical or otherwise,
which would affect or limit my employment or performance, other than
those declared in my Occupational Health Form.
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I acknowledge and confirm that TLA Personnel is
authorised to apply for and obtain a Disclosure and Barring Service
(DBS) check and references from any previous employers and educational
establishments.
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I declare that the
information given herein is true and complete and is not presented in
away intended to mislead. I agree that if I have given false or
misleading information or omit to give relevant information now or in
the future that TLA Personnel may cease to offer me further agency
placements without notice, as well as claim for recovery of any payments
I have received, together with a claim for loss of profit to TLA Personnel.
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I agree that the
maximum weekly working time specified in Regulation 4(1) and (2) of the
Working Time Regulations 1998 shall not apply to working with TLA Personnel unless specified above.
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I acknowledge that my
personal details will be stored and handled correctly by TLA Personnel in accordance with the Data Protection Act 1998, however, I
agree that they may be made available for audit/review by relevant third
parties. (This is relevant for all information including all documents-
DBS, Occupational Health, References).
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I understand that if I
am on a student visa I can only work for 20 hours per week during term
time. I understand that I have a sole responsibility to monitor this. In
addition, if my position as a student changes, I must inform TLA Personnel.
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I understand that if I
am on a Tier 2 Sponsorship Visa, I can only work for a maximum of 20
hours per week at the same professional level as my sponsorship. I
understand that I have a sole responsibility to monitor this. In
addition, if my position with my sponsored company changes, I must
inform TLA Personnel.
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I acknowledge that if
any of my details stated on this Application Form change, or my
circumstances change, which may affect my ability to work for TLA Personnel, I must inform TLA Personnel immediately.
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I confirm that I am not
currently under investigation, or currently suspended, by my
professional regulatory body or being investigated by my current or
previous employer. I will inform TLA Personnel if I am under
investigation or suspended by my professional regulatory body or
employer at any point while working for TLA Personnel
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I confirm that when
asked about my working history (primarily, but not exclusively, for the
purpose of the Agency Workers Regulations) I will provide accurate
information.
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I acknowledge that
should I reach the 12-week Qualifying Period under the Agency Workers
Regulations, I may be asked for, and will provide, further documentation
as evidence of qualifying weeks, if TLA Personnel deems it
necessary.