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On-boarding Form

Step 1 of 7 - Your Details

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Your Details
Title*
Name
FIRST NAMES SURNAME / FAMILY NAME
Gender*
- Male
- Female
Mobile Number*
Nationality*
Email*
Note that if an email address is not entered you cannot proceed further online - you can apply by visiting our branch.
Enter Email Confirm Email
Your Address*
Address Town/City Postcode Country
Date of Birth*
National Insurance Number
Do you have any unspent criminal convictions?*
- Yes
- No

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Your Banking Information
Do you have a Bank or Building Society Account?*
- Yes, I have a Bank Account
- Yes, I have a Building Society Account
- No
Your Bank Details
Please note that the bank account must be in your name and that we will verify the details given.
Name of Account Holder*
Account Number*
Sort Code*
Building Society Reference Number*

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Do you have a Full Driving Licence?*
- Yes
- No

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Do you suffer from any of the following health conditions?*
Diabetes
Heart or circulatory disorders
Stomach or intestinal disorders
Any condition which causes difficulties sleeping
Chronic chest disorders, especially if night-time symptoms are troublesome
Any medical condition requiring medication to a strict timetable
Any other health factors that might affect fitness at work
- Yes
- No
Which health conditions?*
Tick any that apply. If you have answered 'yes' to any of the these questions, you may be asked to see a doctor or nurse for further assessment.
- Diabetes
- Heart or circulatory disorders
- Stomach or intestinal disorders
- Any condition which causes difficulties sleeping
- Chronic chest disorders, especially if night-time symptoms are troublesome
- Any medical condition requiring medication to a strict timetable
- Any other health factors that might affect fitness at work
Consent*
I, the undersigned, confirm that the above is correct to the best of my knowledge.

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Health Declaration
In order for you to work within the Food Industry we require the following information.
Do you have a doctor?*
- Yes
- No
Doctors Details
Doctors Name*
Doctors Address
Address Town/City ZIP / Postal Code Country
Doctor's Phone Number
Next of Kin's Details
This is the person we will contact in case of emergency.
Name*
First Last
Address*
Address Town/City ZIP / Postal Code Country
Next of Kin's Contact Phone Number*
Illnesses
Have you ever suffered from any of the following illnesses?*
Typhoid, Para Typhoid, Malaria, Yellow fever, Dust allergy, Nut allergy
- Yes
- No
Which illnesses?*
(please tick any that apply)
- Typhoid
- Para Typhoid
- Malaria
- Yellow fever
- Dust allergy
- Nut allergy
Have you have a recurring conditions, such as:*
Ear infections, Nose infections, Eye infections, Boils, Eczema, Skin infections
- Yes
- No
Which recurring conditions?*
- Ear infections
- Nose infections
- Eye infections
- Boils
- Eczema
- Skin infections
Have you ever suffered from any other illness or had contact with anything that could affect you working in a food company?*
- Yes
- No
If yes, please give details:
Declaration*
At the request of WEBFX EMEA Limited or Harrow Club W10, I am willing to undergo a medical and any other necessary steps to ascertain my suitability to work.
I hereby certify that the information I have given is correct to the best of my knowledge. I understand that failure to follow food hygiene practices, or wrongful disclosure of information, could result in a fine, or in certain cases, a prison sentence.

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48-Hour Opt Out Agreement - Working Time Regulations 1998
Under the Working Time Regulations 1998 a worker’s average weekly working time (including overtime) calculated over a rolling 17 week period must not exceed 48 hours. The Regulations provide that this limit will not apply where a worker has agreed with his Employer, in writing, that it should not apply in his case. Therefore, if you to agree to opt out to enable you to decide on your own hours of work then please sign below. You may withdraw your agreement by giving the Company three months advance notice in writing. Please confirm your agreement by signing where indicated on the section below.
Do you wish to opt-out?*
- Yes
- No
(please read the paragraph above before checking this box)
(please read the paragraph above before checking this box)
- Yes, I wish to opt-out

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Employee Statement
You need to select only one of the following statements A, B or C*
- A - This is my first job since 6 April and I've not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
- B - This is now my only job but since 6 April I've had another job or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
- C - As well as my new job, I have another job or receive a State or Occupational Pension.
Consent
Consent*
The information I have provided is correct and accurate to the best of my knowledge. I understand by sending this application to WEBFX EMEA LIMITED I give my consent for the company to process my data in accordance to GDPR Regulation (EU) 2016/679. The Data Controller and Processor can be contacted: [email protected] I confirm I have read the manual handling document and the terms and conditions of employment.
CAPTCHA
How will you travel to work?
Please tick all that apply
Signature
Email
This field is for validation purposes and should be left unchanged.

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