Please complete the PRE-REGISTRATION, and WTR forms

Full Name & Title: Jose Luis

National Insurance Number : SL670268A
Medrano Moreno Mr
Address (inc Postcode):
14 Shelley Avenue UB6 8RX
Linked in Profile Address:
http://linkedin.com/in/jose-luis-medrano-a90a07128
Nearest Tube / Train Station:
Work Email:
greenford / Perivale

Home Telephone Number: Home Email: jotapotro@me.con

Work Telephone Number: Alternative Email:

Mobile Telephone Number:

07985649354 Nationality: Bolivian

SKYPE ID: Visa Type/Work Permit Status: Resident Permit

Languages (Fluency): english

(fluent) , Spanish (native) ,
Visa Expiry Date: 10-11-2020
Portuguese (limited ) Italian
(elementary basic)

CURRENTLY LOOKING FOR:

Notice
Temporary: Permanent: Yes Main industry sectors that you have worked in: Period: 2
…………………………cleaning…………………………………… -3 weeks
Hourly rate Salary sought: £
…. Available
sought: £ 30-35k from:

Highest level of
Education
Do you have any holidays coming up in the next few months? Yes / If
Name of qualification (i.e.
so: what are the dates? 23/03/18 - 01/04/18
A level)………. | Grade:
(i.e. 2:2)…..
Driver’s
Licence? YES Which roles / job titles should Amdas Consultancy LTD source for you?
Car (i.e. Reception, Office Manager, HR Manager etc.)… Operations Manager , Area Manager
owner? YES , Site manager, Contract manager

Security Cleared (DBS Do you have any criminal convictions? NO

etc.)? It can be done (Other than those which are spent – please give details):
if needed

CAREER HISTORY / REFERENCE DETAILS

COMPANY NAME /
NUMBER OF EMPLOYEES Olivers Mill
ADDRESS

TELEPHONE NUMBER 07964 902183

JOB TITLE Area Manager Dates FROM: TO:

HOW DID YOU ACQUIRE

THE ROLE? ADVERT AGENCY X RECOMMENDATION

REASON FOR LEAVING redundancy

REFEREE NAME / TITLE Sharon Montes / Senior Manager
EMAIL ADDRESS
SALARY / BENEFITS £ 29000
Have you suffered any illnesses during the past two years, which caused you to be off work : No
If Yes – how many days did you have off………..

CURRENT ACTIVITY
Which other recruitment consultancies have you already contacted in your career search? Bridge

Please list the companies you have already been interviewed by:
Amdas Consultancy LTD holds and processes information in accordance with the DATA PROTECTION ACT 1998. All
information supplied is held in the strictest confidence and it is not our policy to submit candidate’s details to any other
parties without prior consultation.

WORKING TIME REGULATIONS ACT (Effective as of October 1998)

(temporary / contract workers only!)

Following new legislation regarding maximum weekly working hours and holiday pay, Amdas
Consultancy LTD are required by law to ascertain whether, as a potential employee, you are happy to
work in excess of 48 hours per week.

Working Hours - Circle as appropriate

Holiday Pay

When a member of staff at Amdas Consultancy LTD discusses and agrees hourly pay rates, it will be
understood that all holiday pay will be excluded within that figure. Holiday pay is always added to the
hourly rate.

Name: Jose Luis Medrano

Yes

I am happy to work in excess

of 48 hours per week

If you would like any clarification on the above, please do not hesitate to speak to your consultant.

I sign in agreement that I have read and understood the above for
all assignments that I undertake on behalf of Amdas Consultancy
LTD.

Signed Date 20/02/18

Jose Luis Medrano
………………………..
…………………………….

Notice of termination of this agreement may be given, please inform Amdas Consultancy LTD in writing
7 days prior to termination.

CONTRACT TO PROVIDING WORK SEEKING SERVICES

Temporary workers only

To ensure compliance, please can you read and sign terms and conditions to enable us to provide work-
finding services for you.

 Amdas will operate as an employment business on your behalf.

  Amdas can provide temporary, contract and permanent work finding services which is relevant
to your experience.

FOR TEMPORARY (HOURLY, DAILY OR WEEKLY PAID)

 If work-seekers are or will be employed by amdas under a contract of service, or a contract for
services, then our standard terms will apply.
 Amdas will pay the work-seeker for all work whether paid by the hirer or not.
 The length of notice the work-seeker needs to give and is entitled to get for assignments –
generally one week. The rate of pay or minimum rate of pay you reasonably expect to get for the
work-seeker will be dependent on the role accepted. Rates of pay will be discussed prior to the start
of the assignment. Details to be discussed and highlighted on the contract you would receive before
starting a temporary assignment.
 How often and when the work-seeker will be paid. The work seeker will be paid on a weekly basis (one
week in arrears).
 The amount of holiday pay details (the majority of work-seekers will be entitled to statutory
holiday pay).
If the work-seeker is a limited company (and not opted out of the rules), you must detail when they may be
entitled to and be paid for time off.
If there are any changes to the terms, we will give you a new document with the details of the changes.
By signing, you agree for amdas to source work for you on either a temp, contract or perm business.

Signature……Jose Luis Medrano

Name: …………Jose Luis Medrano

Date…………20/02/18