SQUARE MILE REGISTRATION DOCUMENT
Full Name: (Mr/Mrs/Miss/Ms)
Previous Surnames:
D O B:
_____(day) _____(month) _____(year)
Address:
Contact Telephone Details
Home:
Work
Mobile:
Postcode:
Email (Home):
National Insurance Number:
Email (Work):
CIS UTR Number:
Do you have any criminal convictions:
Yes
No
Do you have any county court judgements?
Yes
No
Do you have your trade certificates / tickets with you?
Yes
No
Which areas would you work in?____________________________________________________________________
Job /Sub-Contract sought:
Current Position & Rate:
Are you available for work?
Yes
No (if no, when)
Do you have a valid
PTS/CSCS/CPCS Card?
Yes
No (if yes card no & expiry date below)
Card no…………………………………………..
Do you hold any other cards / tickets?
Expiry Date……………………………………………………………
Yes
No (if yes what tickets, numbers and expiry dates below)
Card no…………………………………………..
Expiry Date……………………………………………………………
Card no…………………………………………..
Expiry Date……………………………………………………………
Card no…………………………………………..
Expiry Date……………………………………………………………
In order to assist you in with work we will require proof of your right to work in the UK. A passport with any relevant
Visa or Birth Certificate is required to this effect.
If you are a non EU Passport Holder please complete the following:
Visa status:
Expiry date:
If WHV please state number of weeks worked in the UK:
Yellow/Blue Residence Document: Yellow/
Data Protection
By signing this form you hereby authorise Square Mile Employment Services Ltd to forward all information supplied
by you to us and to any client who instructs Square Mile Employment Services Ltd to supply details of any sub
contractors from time to time and to store and process such personal information supplied by you. Your personal
information will be retained by Square Mile for the purpose of using your services for future works.
Declaration
By signing below, I hereby confirm that the information set out above and otherwise provided by me to you is true
and complete and I agree to Square Mile contacting me regarding aspects of my job. I also confirm that any CSCS /
CPCS evaluations done via a computer testing system were undertaken by myself.
Print Name
Signature
I have provided a true passport or driver’s license by way of identification.
Date
Bank Details
Name of Bank
Address of Bank
Account Name
Account Sort Code
Account Number
Emergency Contact Details
Please provide the details of a friend or family member that can be contacted in the event of an emergency:
Full Name:
Relationship:
Daytime Number:
Evening Number:
Address:
REFERENCING INFORMATION
Education/ NVQ’s / Training History
Please provide the details of all colleges attended and any training / tickets held
School/College:
Dates attended:
Exam/Tickets:
Address:
Telephone:
Previous Work History
Please give us details of previous works
Company Name:
Dates Worked:
Referee:
Telephone:
Fax:
Address:
www.sq-mile.co.uk
SQUARE MILE EMPLOYMENT SERVICES LTD
Basement Floor
49 The Broadway
Stratford
London E15 4BQ
AUTHORITY TO APPLY FOR REFERENCES
I ___________________________ hereby give permission for Square Mile Employment
Services Limited to apply for my academic, personal and work references.
Signature
______________________________
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Date
__________________
www.sq-mile.co.uk
OUR SECTOR-under RAIL
Square Mile has an well established workforce in London who have been continuously employed for
several years on current and completed projects.
As an Achillies, LINK-UP approved our Rail Division are growth opportunities.
We are currently in a position to fulfil the labour supply requirements of Network Rail.
Our contract managers have developed excellent working relationship with Galliford Try, Fitzpatrick,
Docklands Light Railway.
Celebrating 25 years of success- http://www.tramnews.net/blog_Feature.asp?id=27
We will be happy to supply further information to potential new clients.
OUR SECTOR-under UTILITIES
We provide our utility services for large commercial clients across UK, one of our key clients is
National Grid.
Our comprehensive range of utility service includes:
 Gas
 Water
 Electric
GAS
 Service installation
 Connection and metering
 Main installation and replacement
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www.sq-mile.co.uk
WATER




Service installation
Pipeline installation
Replacement and maintenance
Renovation and rehabilitation
ELECTRIC
 Cable jointing
 Duct
 Demolition. Reinstatement and maintenance
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www.sq-mile.co.uk
OUR SECTOR-under ROADS
The range of quality civil engineering and construction services we provide:
 Bridge refurbishment
 Highway construction
 Drainage and groundworks
ADD under OUR SECTOR
AIRPORT SERVICES
From roadside to airside Square Mile provided a specialised and flexible service.
Our people undergo training and assessment to ensure that they are competent to work on
live airfield.
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