Eagle Umbrella

Eagle Umbrella Limited
15a Harbour Road
Inverness. IV1 1SY

Telephone
0845 450 1856

Fax
01463 724586

E-mail
admin@eagleumbrella.co.uk

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Title

First name

Middle name

Surname

Address

Postcode

Previous address if less than 12 months at above

Previous Postcode

Home telephone number

Mobile telephone number

E-mail address

Type of work

Current or New Contract
Expected start date

Expected finish date

Rate (£)
Per

You will be paid

Job Sector

Details of Current or Future Employer / Hirer / Agency

Name

Branch

Contact

Phone number

How did you hear about Eagle Umbrella?

Any additional details

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Nationality
(Are you British or are you an EU National including Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia?)

If No, what is your nationality?

Are you authorised to work in UK through a work permit or visa?

If Yes, what type of work permit or visa?

Security Question
Favourite Colour

Mothers Family Name

Payslip
How would you like to receive your payslip?

If Post, Where would you like the payslip sent ?

Postcode

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Current agency if any?