Old Register – Keystone Resourcing

1Details

2Agency/Client

3Documents

4Declarations

Welcome - Please Fill In Your Details Below

Name(Required)

Address

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Details

Email(Required)

Mobile Number(Required)

Landline

Date of Birth(Required)

Occupation(Required)

EU Citizen

Nationality

PPS Number(Required)

Marital Status(Required)

How did you hear about Keystone?

All fields with an Asterisk are required (*)

Agency/End Client Details

Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Recruiter/Company Contact Details

Contact Name

Mobile Number

Contract Details

Start Date(Required)

End Date(Required)

Invoice Frequency(Required)

Normal Hour/Day Rate(Required)

Additional Rate/s

Normal Hours/Days worked(Required)

Documents

I understand that Keystone Resourcing Limited holds information about me for certain purposes, including (but not limited to), confirming entitlement to work in the Republic of Ireland, administering personnel and pay records and otherwise as reasonably required to operate its business. I understand that I can request access to this information (subject to applicable exemptions) by contacting Keystone Resourcing Limited at the address given.

By signing this application form, I am consenting to the

Processing of personal data (and sensitive personal data) as described above.
Further, I agree to such data being released to third parties (such as insurance providers) where necessary for the foregoing purposes.
I agree that all the information supplied on this form is correct and true to the best of my knowledge.
I agree to keep Keystone Resourcing Limited informed in writing of any changes in my personal details, contact details and any changes in my personal circumstances which might affect my immigration status and eligibility to work in the UK and to supply any such information on request.
I agree to provide on request documents and information which will enable Keystone Resourcing Limited to make any necessary statutory checks on my eligibility to work in the Republic of Ireland.

To ensure Acacia Resourcing Services Limited operates a compliant service we require the following documents:

Compliance Documents

1. Valid proof of address (POA), one of the below, and must be dated within the last 3 months;

2. Valid proof of identity (POI), one of the below;

3. Most up to date CV.

Proof of Address

Max. file size: 2 MB.

Proof of Identity

Max. file size: 2 MB.

Declarations

Complete and Correct(Required)

I confirm the above information is complete and correct. *

Data Protection Notice(Required)

I confirm that I have read the Data Protection Notice above and consent to Keystone Resourcing Services using my personal information, including sensitive personal data, whether obtained from me or another source for appropriate purposes in accordance with applicable Laws and Regulations. *

Incolvency Related Proceedings(Required)

I confirm that I do not anticipate shortly becoming the subject of insolvency related proceedings such as Bankruptcy or Individual Voluntary Arrangements (IVA) etc. or becoming the subject of a criminal investigation. *