Service Required:*
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Reference Provision

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Use this form only if your company plans to contribute data to WorkPass. If you need to retrieve references register as a Verifier using this form instead.

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Company Registration Number:*
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Company Name:*
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Registered Company Address: *
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Town/City:*
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State/Province:
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Zip/Postal Code:*
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Country:*
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Legal Status:*
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VAT Registration Number:
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Number of Staff:*
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Industry:*
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Website
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Title:*
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First Name:*
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Middle Name:
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Surname:*
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Position:*
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Email:*
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Telephone Number:*
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Fax Number:
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Your address:
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Or, if different:
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Town/City:*
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State/Province:
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Zip/Postal Code:*
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Country:*
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Current System:
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Which system do you use to record employment and payroll data?

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How did you hear about us?
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Data protection number:
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Under the Data Protection Act 1998, every data controller who is processing personal information must notify (the Information Commissioner) unless they are exempt. Once you have notified, you will have a registration number. If your business is not registered under the Data Protection Act, please visit the Information Commissioner's website (www.ico.gov.uk).

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Agree Terms and Conditions:
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