Applicant CheckList

We encourage you to complete the form online, however, the pdf version of the form can be found here please “https://andrewjonslimited.com/wp-content/uploads/2017/03/REGISTRATION-AND-COMPLIANCE-CHECKLIST.docx”>click to print

CHECK LIST FOR APPLICANT

CHECK LISTS
Valid NMC pin card ( This is applicable for Nurses )Up to date training certificate in the followingManual handlingBasic life supportFire safetyInformation governanceHealth and safetyCaldicott principles and Data ProtectionInfection Prevention (inc. COSHH/ RIDDOR)Lone worker TrainingComplaints handlingFood HygieneManaging violence & aggressionPOCA/POVA

BANK DETAILS

TITLE MR/MRS/MS/MISS/OTHERS

SURNAME

FIRST NAME

E-MAIL ADDRESS

DATE OF BIRTH

POSTCODE

NATIONAL INSURANCE NUMBER

ADDRESS

BANK NAME

ACCOUNT NUMBER

BANK ADDRESS

SORT CODE

PAYEE NAME *

BUILDING SOCIETY REFERENCE
YESNO

TAX STATUS

PAYEE

STUDENT

DATE

SIGNED( hover mouse with click for sign)

LIMITED COMPANY

If you have a limited company please ensure you attach the following information:

    • Proof of UK limited company Registration ( certificate – paper copy)
    • Proof of Directorship of Ltd company
    • Proof of RCN/RCM membership
    • Signed Limited Company Contract
    • Confirmation that the Ltd Company is either VAT exempt or that you will absorb the VAT % when supplying to clients that are VAT exempt.
    • Proof of UK VAT Registration if relevant (certification – paper copy)
    • Limited company bank statement or letter of confirmation from your bank details.
    • Email address for payment advice to be sent to