Application Form
Please complete all the details requested
Your Personal Information
Title
First Name
Middle Name(s)
Surname
Previous Name(s)
Email Address
Telephone
House Name/No.
Street
Town/City
County
Country
Post Code
Date of Birth (DD/MM/YYYY)
Town of Birth
Nationality
National Insurance Number
Marital Status
Job Title
Short Description of Key Responsibilities
Usual Place of Residence
Mothers Maiden Name
How did you hear about us?
Your Personal Bank Information
Bank/Building Society
Branch Name
Branch Address
Account Name
Account Number
Sort Code
IBAN Number
Swift Code
Building Society Number
Your Identity Verification
Passport or Driving Licence clearly showing your photo and MRZ number
Bank Statement or Utility Bill (not mobile) clearly stating your address (as detailed above) dated within the last 3 months
CV (required for umbrella applications only)
P45 (if dated within last 12 weeks)
Required Services
Please complete ONE of the following three sections; Umbrella, Your New Limited Company, Your Existing Limited Company.
Umbrella
Agency or End Client Name
Contact Name
Telephone Number
Invoice Address
Start Date
End Date
Rate
Pay Period
Invoice Period
Does your agency/end client self-bill?
Your New Limited Company
Desired Company Name 1
Desired Company Name 2
Number of Shares
Your Existing Limited Company
Company Name
Company Number
Tax Reference
VAT Number
Registered Address
Contact Details
Does your limited company self-bill?
Do you have insurance?
Accountant/Tax Agent
Declarations
Please select one of the following statements:
By submitting this form you confirm that all of the information provided is true and accurate.
Contact us today to speak to one of our specialists
0207 118 2400
contact@tailoredservices.co.uk
Nova South 9th Floor 160 Victoria Street London SW1E 5LB