Worker Self - Registration

1. Do you have any unspent* criminal convictions? *

2. (Please enter today's date) *

3. (Please sign here electronically to confirm the above and that you have read the Company's Criminal Conviction Policy) *

Clear

1. I can confirm that I have read and fully understand the Drug and Alcohol Policy. *

2. (Please enter today's date) *

3. (Please sign here electronically) *

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1. I agree to iSupply Group’s privacy statement *

2. (Please enter today's date) *

3. (Please sign here electronically) *

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48 Hour Opt Out Agreement

Opting out of the 48 hour week You can choose to work more than 48 hours a week on average if you’re over 18. This is called ‘opting out’. Your employer can ask you to opt out, but you can’t be sacked or treated unfairly for refusing to do so.

Please fill in the statement below where you can opt in or out, remember that this is voluntary to opt in -

I....(please add your name in the answer box below)

2. (agree or disagree to opt into the 48 hour agreement) *

3. .....that I may work for more than an average of 48 hours a week. If I change my mind, I will give my employer 1 months notice in writing to end this agreement.

Draw your signature in the box below

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4. (Please enter today's date) *

Workers who can’t opt out

You can’t opt-out of the 48 hour week if you’re: • airline staff • a worker on ships or boats • a worker in the road transport industry, eg delivery drivers (except for drivers of vehicles under 3.5 tonnes using GB Domestic drivers’ hours rules) • other staff who travel in and operate vehicles covered by EU rules on drivers’ hours, eg bus conductors • a security guard on a vehicle carrying high-value goods

Cancelling an opt-out agreement

You can cancel your opt-out agreement whenever you want - even if it’s part of your employment contract.

You must give your employer at least 7 days’ notice. You may have to give more notice (up to 3 months) if you have a written opt-out agreement. Your employer can’t force you to cancel your opt-out agreement.

1. Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek? *

2. If yes, please explain below:

3. Do you have any medical conditions? *

4. If you have answered yes to the above question regarding medical conditions, please give further detail below:

5. Are you currently taking any medication ?

6. If you have answered yes to the above question, please list below the medication/dosage & side effects:

7. Are you undergoing any medical investigations currently and awaiting the results ? *

8. If you answered yes to the above, please explain below:

9. (Please enter today's date) *

10. (Please sign here electronically) *

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1. I can confirm that I have read and fully understand the guidelines regarding holiday accrual and procedures as per iSupply's T&Cs and the Key Information Document *

2. (Please enter today's date) *

3. (Please sign here electronically) *

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1. I declare I have read and understood the guidelines and will comply with the conditions of work as per iSupply's T&Cs *

2. (Please enter today's date) *

3. (Please sign below electronically) *

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1. I confirm that I agree with the iSupply Group's Terms of Engagement for Temporary Workers and that a copy of the document has been emailed to me. *

2. (Please enter today's date) *

3. (Please sign below electronically) *

Clear