Engineer enrolment — The Imperium Group

Your details

First name

Last name

Email

Phone

Home address

Postcode

More about you

Known as (optional)

Date of birth

Nationality

Emergency contact

Name

Relationship

Phone

Trades & skills

Main trade / role

Years of experience

Available to start

Availability & travel

How far you will travel

Local only, around 25 miles Regional, around 75 miles Nationwide, travelling there and back in a day Nationwide, happy to stay away

Transport

Equipment you are experienced on

Anything else

Sites you are already inducted at (comma separated)

How you are engaged

Basis

CIS status

UTR number

National Insurance number

Company name

Company number

VAT number

Day / hourly rate you expect (£)

Bank details

Bank

Account name

Sort code

Account number

Only The Imperium Group admins can see these details.

Identity & right to work

Share code / right to work document

Visa expiry (if any)

Passport / ID number

Driving licence number

Insurance

Insurer

Policy number

Cover expires

Cover level

Employers liability

Health

First aid trained

Last medical

Armed forces veteran

Anything we need to know to keep you safe at work (optional)

Certifications

Card number

Issued

Expires

Certificate photo / PDFTap to choose

Documents

ID (front) *Tap to chooseID (back)Tap to chooseInsuranceTap to chooseProof of addressTap to chooseCertificateTap to chooseOtherTap to choose

Declarations

The information I have given on this form is true and complete.I have the right to work in the UK and will show evidence of it when asked.I will keep my certificates, tickets and insurance in date and tell The Imperium Group when anything changes.I will follow site rules, RAMS and inductions, wear the right PPE, and report accidents and near misses straight away.I agree to The Imperium Group holding and using my details for recruitment and placements, as set out in the recruitment privacy notice.

Type your full name to sign

Date

Join the engineer network