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Tell us a bit about your company and your needs.

Dual Service Registration...

Service Required:*
Reference Provision and Verification

Please fill in your business details below:

Company Registration Number:


Company Name:*


Registered Company Address: *






Town/City:*


State/Province:


Zip/Postal Code:*


Country:*


Legal Status:*


VAT Registration Number:


Number of Staff:*


Industry:*


Website


Please fill in your personal details below:

Title:*:


First Name:*:


Middle Name:


Surname:*:


Position:*:


Email:*:


Telephone Number:*:


Fax Number:


Your address:


Same as company address

Or, if different:






Town/City:*


State/Province:


Zip/Postal Code:*


Country:*


Current System:


Which system do you use to record employment and payroll data?

How did you hear about us?


Data protection number:


Under the Data Protection Act 1998, every data controller who is processing personal information must notify (the Information Commissioner) unless they are exempt. Once you have notified, you will have a registration number. If your business is not registered under the Data Protection Act, please visit the Information Commissioner's website (www.ico.gov.uk).

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You will get permission from any person whose personal details will be searched using our services. If you want to apply online for an internet account, you must first read and agree to our terms and conditions. Please tick the box opposite and then send us your application.

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