Know your client form – Workr Group

Personal Details

Important: All details must match your passport details. Required fields are marked with an asterisk (*).

Title*

First name*

Important: All details must match your passport details.

Middle name/s

Surname*

Mobile phone*

Home phone

Work phone

Personal email*

Date of birth*

Nationality*

Country of birth*

Other*

Place of birth*

Country of residence*

Passport Details

Passport number*

Country of issue of passport*

Date of issue

Please attach a copy of your passport photo page

Please attach a copy of your proof of residence

Acceptable evidence of residence might include your drivers license or utility bill.

Gender*

Male
Female

Occupation*

Residential address*

Street Address City ZIP / Postal Code Country

National Insurance (NI) or Social Security Number*

Please input your National Insurance (NI), Social Security Number, or similar relevant tax 'personal account number'.

Do you have a self-employed or freelance registration?*

Do you have a self-employed or freelance registration?

Yes
No

Are you a director of a limited company?*

Yes
No

Do you intend to get paid through your limited company?*

Yes
No

Company name*

Company registration number*

Personal bank details

Please supply your personal bank details

Account name*

Bank*

Sort code*

Account number*

IBAN Number/SWIFT Code

Please supply this if available

Limited Company bank details

Please supply your limited company bank details

Account name*

Bank*

Sort code*

Account number*

IBAN Number/SWIFT Code

Please supply this if available

Your privacy and personal data

» Privacy Notice

Your privacy and personal data is important please see our Privacy Notice for further information on how we protect, secure and may use any personal data you provide to us. When we say ‘personal data’ we mean identifiable information about you, like your name, email, address, telephone number, bank account details, payment information, support queries, community comments and so on. This in additions to any personal data which we have a contractual or legal need to store and process in order to deliver our services to you.

Consent to store and process your personal data*

I consent for you to store and process my personal data if required to answer my enquiry.*

Your consent is needed in order to process and answer your enquiry online in case there is any personal data you are providing with your enquiry.

Consent for marketing, product and sales promotions purposes

I confirm my consent for marketing sales and product information and communications purposes.*

Your optional consent is requested in order to be able to use your personal data provided to send you relevant marketing, product and service promotional communications.

Confirm Information

Please confirm your information*

I certify the information supplied above is correct.*

Please confirm your information

Date

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