Europa Corby

Form 3 of 3

Next Step (Form 3)
Assignment Details Form
Details of the Employee
Forename(s)*
Surname*
Address
Street Address Line 2 City / Town County Postcode Country
Details of the Hirer
Name of the Hirer*
Nature of the Hirer’s business*
Name of Hirer’s contact to report to on arrival*
Report to on-site manager and you will be introduced to the appropriate client manager
Assignment Details
Likely duration of the Assignment*
Calendar weeks already accrued towards the Qualifying Period for the purposes of Regulations 7 and 8 of the Agency Workers Regulations 2010*
The type of work*
Location of work*
Hours of work*
05:45-13:45 / 08:00-16:00 / 07:30-18:00 / 14:00-22:00 / 18:00-04:30
The experience, training, qualifications and any authorisation necessary or required by law or a professional body*
Any known health and safety risks and the steps the hirer has taken to reduce the risks*
Collective Facilities
Hirer’s collective facilities available*
On site canteen, toilets
Pay
Actual Rates of Pay*
AM shift £10.59, AM shift Automation £11.79 PM shift £11.12 Nights Automation £13.58 per hour
Any expenses payable (if applicable)*
Intervals of Payment*
Annual Leave
Number of additional [paid/unpaid] annual leave days payable on completion of QP*
Contacts

Your Recruitment Consultant contact details:
Your recruitment consultant contact details*
Adela Pinczes - 07973960427
Signature*
Forename(s)*
Surname*
Date*
Sharepoint Email
Branch Number
Client/Site Name

Need assistance?
Call 0116 233 4404

Lorem ipsum dolor sit amet adipiscing elit sed do eiusmod tempor incididunt.

Ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit.

Assignment Details Form