Registration and Application Pack
personal information - All candidates to complete
Full name:
Date of birth:
National Insurance Number:
Marital status:
Nationality:
Home address:
Telephone:
Mobile:
Email:
Bank Details
Full name:
Banks or Building Society name:
Banks or Building Society address:
Sortcode:
Account number:
Building Society ref:
Account holders name:
References
Reference Details:
Next of Kin
In case of emergency, please provide us below with contact details for two next of kin
Next of Kin 1
Name:
Relationship:
Address:
Telephone:
Mobile:
Next of Kin 2
Name:
Relationship:
Address:
Telephone:
Mobile:
Individual agreement of opt out of the 48 hour maximum average working week
This agreement is made between Arctics Ltd t/a Igloo and (the employee)
48 hour maximum average working week
The Working Time Regulations 1998 provide that the average working week, including overtime, shall not exceed 48 hours. The Company and the Employee agree that this limit shall not apply to the Employee. This Agreement will remain in force indefinitely. The Employee, or the Company, may terminate this Agreement at any time giving no less than three months’ written notice to the other.
Data Protection: This information will be processed lawfully, in accordance with our Data Protection Policy, in order for us to fulfil our contractual and/or legal obligations to you.
This document will be kept on your personnel file (hard copy and/or electronic) for the duration of your employment. We will retain your personnel file for a period of 7 years after your employment has ended (or in line with current legislation at that time). Please refer to the Company’s Data Protection Policy for more information relating to how the Company processes your personal data and your riqhts.
Disclosure of Criminal Records & History
Name:
Because of the nature of the duties you win he expected to undertake & the high value of the property, you are required to disclose details of any criminal record. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining a position.
If you declare a criminal record and we believe this to have a bearing on the requirements of the post, we reserve the right to discuss the matter with you at interview. Information contained on this form will only be made available to those persons who need to see it as part of the recruitment process.
Have you any unspent convictions? In accordance with the rehabilitation of Offenders Act 1974.
If yes, please give details offences, penalties & dates
Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.
Accident Declaration
For insurance purposes and to ensure that you are covered should an accident involving yourself occur you must complete the following declaration. This document will be re-issued, and you will need to complete this every quarter when we update your online DVLA check with you.
If you answer yes to any of the below questions you must provide further details and we reserve the right to discuss this further with you as it may have an impact on your suitability for the position.
- How long have you held your driving licence?
- Do you have any points or endorsements on your license?
a) If yes, how many?
b) What are these for?
3. Have you been involved in any accidents in the past 4 years?
If you answered yes to question 3, please provide full details below - including, dates, who was at fault and was there an insurance claim made?
Provision of payslips by email
At igloo we are committed to improving the service that we provide to our workers. One of the changes that we are making is to the provision of payslips and "End of Year" information.
All Payslips are sent out by email, thereby meaning that you can access your payslip from your smartphone, tablet or PC.
So that we can ensure all your payslips and "End of Year" information are sent to you correctly, please complete the fields below:
Full name:
Full National Insurance number:
igloo site:
Email address:
If my email address changes then I will notify igloo payroll of the change in writing. I understand that igloo will accept no responsibility for the confidential information being accessed by others using the email address I have supplied above. The security of this email address is my responsibility.
I understand that I have given all the information above and I am responsible for its accuracy.
New starter pre-employment checks: Consent Form
As part of Igloo’s recruitment process you must provide documentation proving right to work in the UK and consent to the following pre-employment checks.
1. Confirmation of right to work in the UK
2. Criminal Records disclosure
3. Employment reference check
Declaration by candidate:
If I am offered a role with Arctics LTD TIA Igloo, I consent to the above employment checks being carried out and give my consent for the appropriate employment reference checks to take place. I understand that any decision regarding my employment will be subject to the information received as a result of these checks.
Deduction from Earnings Agreement for Agency Workers for Driving & Parking Offences
I hereby agree that in consideration of any driving or traffic offence committed by me, during the time I am carrying out work for Igloo who is the Employment Business, or when I complete work for a client or customer of the Employment Business, whether in a personal vehicle or a vehicle of the Employment Business, or in a vehicle of the client or customer of the Employment Business, l agree that I will be fully responsible for the payment of any fines or costs associated with the offence, and I will pay all costs incurred within a period of 3 days of notification.
In the event that the Employment Business, or a client or customer of the Employment Business experiences costs associated with a driving or traffic offence committed by me, as a result of my failure to pay costs within the mentioned 3 day period after notification, I agree that the Employment Business can deduct a sum equal to the full amount of any fines or other costs associated with the offence from any monies due to me.
For the avoidance of any doubt, any costs associated with parking fines, speeding fines, toll charges, congestion charges are covered by this agreement.
I now give my express written consent to the Employment Business to deduct any such monies due under this agreement from any earnings due to me in accordance with the legislation currently in force (Part II of the Employment Rights Act 1996). Where such deductions have reduced to nil the sums otherwise owing to me and a balance remains outstanding, I understand that I will repay the balance immediately to the Employment Business.
Terms of Contract for Services
a. Definitions
a. In these Terms of Engagement the following definitions apply:
'Assignment' means the period during which the Company is engaged by the Employment Business to render services to the client;
Client means the person, firm or corporate body requiring the services of the company;
Company Igloo means the Limited Company engaged by the Employment Business to provide the services of its employees, officers or representatives to the Client;
1. Unless the context otherwise requires, references to the singular include the plural and references to the masculine include the feminine and vice versa.
2. The headings contained in these Terms are for convenience only and do not affect their interpretation.
b) The Contract
- These terms constitute a contract for services between the Employment Business and the Company upon being signed on behalf of the Company and govern Assignments undertaken by the Company with the Client.
- No variations or alterations to these Terms shall be valid unless approved by a Director/Proprietor of the Employment Business in writing.
- For the avoidance of doubt these terms shall not be construed as a contract between any individual supplied or any representative of the Company and any of the liabilities of an employer arising out of the assignment shall be the liabilities of the Company.
c) Assignments
- The failure by the Employment Business to obtain suitable Assignments for the Company shall not give arise to any liabilities on the part of the Employment Business. The Company recognises that there may be periods between Assignments when no work is available.
- The Company shall not be obliged to accept an Assignment offered by the Employment Business nor shall the Employment Business be obliged to offer ongoing Assignments to the Company.
- Upon the acceptance by the Company of an Assignment the Employment Business shall supply the Company with a Time Sheet specifying the duration of the Assignment, the identity of the Client, the hourly rate payable by the Employment Business and such expenses as may be agreed, the notice period and any other relevant information.
d) Timesheets
- At the end of each week an Assignment (or at the end of the Assignment when an Assignment is for a period of less than one week or is completed before the end of the week) the Company shall deliver to the Employment Business the Employment Business's timesheet duly completed to indicate the number of hours worked by the Employment Business no later than .... on .... following the week to which they relate. This timesheet must be accompanied by an invoice from the Company for the amount due from Employment Business to Company for the hours worked in that week. Such invoice should bear the Company's name, VAT number, and should state any VAT due on the invoice.
- The Employment Business shall not be obliged to pay any fees to the Company unless a signed timesheet and invoice have been properly submitted by the Company in accordance with sub-clause 4.1 of these Terms.
e) Fees
- The Company will receive payment from the Employment Business for an Assignment at the rate agreed for Services for each hour worked by the Company, plus VAT where appropriate.
- The Company shall be responsible for any PAYE, Income Tax and National Insurance Contributions and any other taxes and deductions payable in respect of its employees, officers or representatives for any Assignment.
- All payments will be made to the Company (or Company's agent on its behalf, if so agreed in writing).
f) Liability
- The Company shall be liable for any loss, damage or injury to any party resulting from the negligent acts or omissions of its employees or officers during an Assignment.
- The Company shall ensure the provision of adequate Employer's Liability Insurance, Public Liability Insurance and any other suitable policies of insurance in respect of the Company and its employees or officers during an Assignment and shall make a copy of the policy available to the Employment Business upon request.
g) Company's obligations
-
- The Company agrees on its own part and on behalf of its officers and employees as follows:
- Not to engage in any conduct detrimental to the interests of the Employment Business or the Client which includes any conduct tending to bring the Employment Business or Client into disrepute or which results in the loss of custom or business.
- To be present during the times or for the total number of hours during each day/and or week of the Assignment as may be agreed with the Employment Business or Client.
- To take all responsible steps to safeguard its own safety of any other person who may be affected by its actions on the Assignment.
- To comply with all statutory obligates and codes of practice to which the Company is subject in respect of its employees and offices including but not limited to the Working Time Regulations.
- To comply with any rules and obligations in force at the premises where services are performed during Assignments to the extent that they are reasonably applicable.
- To co-operate with the Client's staff and accept the direction of any person in the Client's organisation to whom it is required to report and comply with all reasonable and lawful instructions within the scope of the Assignment made by the Client.
- To furnish the Employment Business with any progress reports as may be requested from time to time
- The Company's obligations to provide the services pursuant to these Terms shall be performed by such suitability qualified members of the Company's officers or employee at any time, subject to first notifying the Employment Agency of such substitution.
- Subject to prior notification being given to the Employment Business, the Company may also substitute its own performance of the services, whether by the assignment or sub-contracting of the services, providing that the Company, the Employment Business and the relevant Client are reasonably satisfied that the substitute, assignee or sub-contractor has the necessary skills, qualifications or resources and personnel to provide the said service to the required standard and the terms of any such assignment or sub-contract are such as to enable each party to perform and comply with its obligations under this Agreement.
- To notify the Employment Business forthwith in writing if it should become insolvent, dissolved or subject to a winding up petition.
- To comply with all the requirement of VAT legislation and the Companies Act 1981.
1. Acknowledgement
a. The Company acknowledges that all copyright, trademarks, patents and other intellectual property right deriving from services carried out by the Company and its employees or officers for the Client during the Assignment shall belong to the Client
2. Computer Equipment Warranty
1. The Company shall ensure that any computer equipment and associated software, which it provides to its employees or officers for the purpose of providing the services, contains anti-virus protection with the latest released upgrade from time to time and will be Year 2000 compliant.
a) Confidentiality
a. In order to protect the confidentiality and trade secrets of any Client and the Employment Business and without prejudice to every other duty, to keep secret all information given to it or gained in confidence, the Company agrees on its own part and on behalf of its employees and officers as follows:
8. Not at anytime whether during or after Assignment (unless expressly so authorised by the Client or the Employment Business as a necessary part of the performance of its duties) to disclose to any person or to make use of any of the trade secrets or confidential information of the Client;
9. To deliver up to the Client or the Employment Business (as directed) at the end of each Assignment all documents and other materials belonging to the Client (and all copies) which are in its possession including documents and other materials created by its or the employees or officers during the course of the Assignment;
10. No at any time to make any copy, abstract, summary or précis of the whole or any part of any document or other material belonging to the Client except when required to do so in the course of its duties under an Assignment, in which event any such item shall belong to the Client or the Employment Business as appropriate.
b) Termination
1. An Assignment may be terminated by the Employment Business or the Company giving the other part in writing the period of notice specified in the assignment confirmation note.
2. Notwithstanding sub-clauses 11.1 and 11.5 of this Agreement, where required by the Client, the Employment Business may without notice and without liability instruct the Company to cease work on Assignment at any time, where: 10. the company has acted in breach of the rules and regulations applicable to the Client's own staff; 11. the client reasonably believes that the Company has not observed any conditions of the confidentiality applicable to the Company from time to time; or 12. the Company becomes insolvent, dissolved or subject to a winding up petition. 13. For any reason the Company proves unsatisfactory to the Client.
- Failure by the Company to give notice of termination as required in the assignment confirmation note shall constitute a breach of contract and shall entitle the Employment Business to claim damages from the Company for any resulting loss suffered by the Employment Business.
- If the Company's employees are unable for any reason to work on an assignment the Company should inform the Employment Business by no later than 10.00am on the first day of absence to enable alternative arrangement to be made.
- The Company acknowledges that the continuation of an Assignment is subject to , and conditioned by the continuation of the contract entered into between the Employment Business and the Client. In the event that the contract between the Employment Business and the Client is terminated for any reason the Assignment shall cease with immediate effect without liability to the Company.
c) Obligations
1. The Company warrants that he/she understands relevant obligations under Working Time Regulations 1998 as amended and undertakes to only accept assignments which would not cause him/her to infringe those regulations.
d) Law
2. These terms are governed by the law of the country and the exclusive jurisdiction of the Courts of the country in which the Employment Business has its operations address
Arctics Limited t/a Igloo Self-Billing Agreement
THIS AGREEMENT is made on the
BETWEEN: (hereinafter called "the Supplier") whose registered detailed are as follows:
Contractor Name:
Company Name:
Address:
VAT Reg. No:
Company Reg. No:
and
Arctics Limited trading as Igloo, whose registered office is situated at Arctics House, 6 Marina Court, Maple Drive, Hinckley, Leicestershire, LE10 3BF.
Conditions of Acceptance
1. The above company agrees to provide Arctics Limited t/a Igloo with a copy of its current VAT Registration Certificate and Certificate of Incorporation.
2. The Supplier must not raise VAT invoices in respect of supplies under this agreement.
3. Arctics Limited t/a Igloo will supply a valid self-bill VAT invoice to the Supplier for services supplied on a weekly basis or when the Supplier submits a timesheet.
4. The Supplier will immediately notify Arctics Limited t/a Igloo of any changes in its VAT registration position that would affect the application of the system, for example, ceases to be registered, transfers the business as a going concern or becomes registered under another VAT number.
5. Arctics Limited t/a Igloo may request the Supplier will provide the required information within 30days of the request.
6. The Supplier gives permission for Arctics Limited t/a Igloo to disclose the Supplier name, address and VAT registration number to HM Revenue & Customs as a member of the Arctics Limited t/a Igloo self-billing scheme.
7. Withdrawal, of or from the self-billing invoice scheme may be instigated by either party in writing.
Documentation and Qualification checks
Permission to work in the UK
Do you have immigration permission to work in the UK (please indicate clearly as appropriate)
In line with UKBA guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by Igloo for any type of employment.
Driving Licence Details (non drivers please go to next section)
Driving Licence No.
Please indicate the categories of licence that you hold and indicate the number of years you have held the entitlement.
Driving points and convictions
Please disclose ALL convictions and points which may appear on your licence. If you do not have any points or convictions, please write "clean licence" in the section below.
Drivers Declaration
1. Have you been convicted of any motoring offence in the last 5 years?
2. Have you had your licence suspended in the last 10 years?
I undertake to inform you of the number of hours I have driven etc.; should I at any time work as a driver on my own behalf, or on behalf of any person, film or company at, between or during any period(s) of driving that I may do as a result by you, and between the time of completing this application and accepting my first introduction. I acknowledge that it is my responsibility to ensure that a Tachograph disc is issued to me, completed by me and returned to any hirer I am introduced to by Igloo.
Drivers Competency Test
1. On UK journeys, the total time spent driving each day must not normally exceed:
2. However, on two days in the week you may extend that and drive for up to: hours.
3. You must take a statutory rest period after a period of a accumulated driving of: hours.
4. After the period of accumulated driving you have given in question three, the statutory break must be at least minutes or you can split the break time into two shorter periods the first being at least minutes and the second minutes.
5. The daily rest between periods of duty must not normally be less than hours
6. However, on three days a week (not consecutive) this may be reduced to hours
7. The limit for the number of hours you can spend driving in any fortnightly period is:
8. The normal weekly rest period should be a minimum of at least consecutive hours. This, however may be reduced to hours, when working away from home base.
9. The standard fixed week for European Tachograph regulations apply runs from 00.01 hours on a day to 23.59 hours on a day.
10. A driver drives for 2.5 hours, places the tachograph mode to "other work" for 1 hour and then drives for a further 2 hours. What break does the driver then need to take?
11. For how long can a driver drive a digital operated vehicle if the driver's tachograph card malfunctions?
12. If a driver removes their digital tachograph card at 09.00hrs, but not actually finish the duty until 09.30hrs, what should the driver do when he next inserts his tachograph card on the next shift they work?
13. When driving a vehicle fitted with a digital tachograph, what must the driver ensure they have in their possession before commencing any journey?
14. What button on the digital tachograph unit confirms any procedure performed on the unit
15. How often should the digital tachograph unit be calibrated?
16. Under WTD rules, drivers must not work any more than hours without taking a break.
17. What break must be taken after 9 hours duty but before the end of the shift?
18. What break does a driver have to take after 6 hours duty but before 4 half hours collective driving time?
19. Where will you find the tachograph inspection certificate for a digital tachograph?
Highway Code Test
Health and Disability
The following questions on health and disability are asked in order to found out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.
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? (please indicate clearly as appropriate)
If yes, please specify
If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc?
Health Declaration
I declare that I am medically fit to work and understand that any false declaration of my fitness to work may lead to termination of my contract for services. I confirm that I will contact Igloo immediately if I am prescribed medication that is not suitable for use while working or if there is any change in my medical condition. I also confirm that I will notify the DVLA of any changes in my medical condition that may affect my ability to drive. If I require glasses or lenses to fulfill my obligations, then these will be worn while driving at all times. I understand that I may be required to under go a medical examination by a doctor nominated by the company if required, the cost of which will be bourne by the company.
As a driver for Igloo (if appropriate) I also acknowledge that I am entitled to free medical examination if my shift patterns include working at night (0000-0400).
I give permission for my GP to be contacted to obtain a report on any of the conditions details above. (Should a medical report be required then you will be advised of your rights under the Access to Medical reports Act.)
Please upload a copy of your Passport, Birth Certificate or National ID Card:
If you are not a British Citizen, please provide your right to work share code below:
Please upload a copy of the FRONT and BACK of your Driving Licence:
Please provide your DVLA share code below. Please ensure you type this as it appears on the website, as this is case sensitive.
Please upload a copy of your proof of National Insurance Number:
Please upload a copy of your proof of Address:
Please upload a copy of your Limited Company Certificate of Incorporation:
Please upload copies of your insurance policies:
Please upload a copy of your certificate of VAT registration:
I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed onto potential employers.
If, during the course of a temporary assignment, the Client wishes to employ me direct. I acknowledge that Igloo will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).
