RGS Cleaning Ltd
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Employee Pin Number
*
Name
*
Contract Name – Place of work (if you are working in more than one place, put the names of each job)
*
Hours & Days of normal working – If on more than one job please put the job name and then times and days.
Address
*
Country
United States (US)
United Kingdom (UK)
Canada
Australia
—
Afghanistan
Åland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
American Samoa
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belau
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
CuraÇao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Republic of Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Martin (Dutch part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
City
Zip code
Telephone Number
*
Preferably your Mobile Number
Telephone Number
Do you have a second contact number or a landline?
Email Address
*
Payslips are ONLY sent via email. You must provide an up to date email address.
Date Of Birth
*
DAY/MONTH/YEAR
Age
*
Relationship Status
*
Single
Married
Living With Partner
Civil Partnership
Divorced
Widowed
If other, please state above.
Nationality
*
What is your Ehtnic Origin
*
White European
Afro-Caribbean
Asian
Other – PLEASE STATE
If other, please state above.
NATIONAL INSURANCE NUMBER
*
If we do not have a National Insurance number, we may not be able to pay you until we do.
Do You Have Any Unspent Criminal Record
*
Yes
No
If you answered yes, please give information below.
Are You Receiving a Pension of any kind?
*
Yes
No
DO YOU HAVE ANOTHER JOB
*
YES
NO
Any Health problems or Disabilities?
*
Yes
No
If you answered yes, please give information below.
If you have any Health problems or Disabilities, please provide as much information as possible.
PLEASE NOTE
All employees are required to give one weeks notice
IN WRITING
of their intention to leave or more if applicable (taken from date received in the office). If no notice is given the employee will forfeit one weeks wages. (One week’s normal hours). Part time staff must work an initial 12 hours before they receive any wages. All work wear must be returned at the end of your employment to receive a return of deducted monies. (Full details are in the contract of employment form.)
Giving in-accurate information will result in delayed payment of wages. RGS Cleaning cannot be held responsible for this!
Failure to provide correct bank details or sufficient ID will result in the payment of your wages being delayed. We do not guarantee that you wages will be processed until the second Friday in each month at the latest.
Uniform MUST BE WORN
IT IS A CONDITION OF YOUR EMPLOYMENT AND HEALTH & SAFETY THAT YOU WEAR UNIFORM AT ALL TIMES WHILE WORKING. THE MAJORITY OF STAFF ARE ISSUED WITH ONE T-SHIRT OR TABARD. AS MOST PEOPLE ONLY WORK A FEW HOURS A DAY THIS IS SUFFICIENT FOR YOU TO WORK IN AND KEEP CLEAN. REPEAT OFFENDERS NOT WEARING THE UNIFORM WILL FACE POSSIBLE DISCIPLINARY ACTION. IF YOU DO NOT HAVE THE CORRECT UNIFORM THEN YOU SHOULD RAISE THIS WITH YOUR CONTRACTS MANAGER.
Signature – You can use a mouse, finger or stylus to sign this form.
I CONFIRM THAT I HAVE READ AND UNDERSTAND THE ABOVE. PLEASE SIGN BELOW.
Reset Signature
Date of Signing / Completion of this form.
Employee Identification
Please Upload a recent Face Picture (selfie) so that we can produce your ID Badge.
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