Premier Employment Registration Form

Please complete and return the form; this version may be printed and posted, faxed or brought in. Applicants should be over 18. I hereby consent to your use of my information: .................................................................. see Privacy Policy
Surname
Forenames
Address
Telephone No
Fax No
E-Mail Address
UK National Insurance Number (if you have one)
Date of Birth
Full Driving Licence	YES NO	CAR		LORRY
Nationality
RECENT WORK EXPERIENCE (COVERING THE LAST 2 YEARS)
WHEN ARE YOU AVAILABLE?
REFERENCES	CONTACT 1 ADDRESS/NAME/NUMBER		CONTACT 2 ADDRESS/NAME/NUMBER

Fax to: +44 1823 321448 Premier Employment, Premier House, 8 North Street, Taunton, Somerset, TA1 1LH, United Kingdom We are registered under the Data Protection Act