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*

Please select your country of birth

Other*

Country of birth, if other

Place of birth*

Please input your 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 passport photo page

Max. file size: 64 MB.

Please attach a copy of your proof of residence*

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

Max. file size: 64 MB.

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*

Company registered address*

Street Address Address Line 2 City Post Code Country

Upload your company registration documents*

Max. file size: 64 MB.

Please upload copies of your company registration documents

Emergency contact details

This information will be treated as confidential. Please update any changes through the Workr International Portal.

Name of next of kin*

Prefix First Middle Last

Address of next of kin*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Daytime telephone number*

Relationship*

Your relationship to this individual

Please state any medical details which we should be aware of in the event of an emergency, e.g. diabetes, epilepsy*

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

Workr International – Know your client form

Personal Details

Passport Details

Emergency contact details

Your privacy and personal data

Confirm Information

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