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Contractors
Recruiters
Contact Us
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01524 952777

Limited Company Supplier Registration

Who is completing this registration:*
- I am a Director/Authorised Officer of the Limited Company
- I am another party authorised to complete the registration on behalf of the Limited Company
- I am a friend / relative registering on behalf of the worker named on this registration and I have permission to complete on their behalf and share their personal information

Please enter your name:*
Limited Company Information
Company Name*
Company Registration No.*
VAT Registration No
Company UTR number
Please confirm the companys registered address
Street Address*
Address Line 2*
Town/City*
County*
Postcode*
Country*

Director/Authorised Officer Information
Title:*
Full Name:*
Email Address:*
Main Contact Number:*
2nd Contact Number:
Date of Birth*
Passport Number:
Next of Kin:
Next of Kin Contact Number:
Nationality:*
Do you know your National Insurance Number?*
- Yes
- No
National Insurance Number:*

Assignment Information
Services Provided:*
Services Start Date:*
Agency/Company (Client):*
Agency Branch:*

Payment Information
Are you able to provide business bank account details?*
- Yes
- No
Please Enter the Business Bank Details
Please Enter the Bank Details
Bank/Building Society Name:*
Bank/Building Society Name:*
Bank Address :
Bank Address :
Account Holder Name:*
Account Holder Name:*
Account Sort Code:*
Account Sort Code:*
Account Number:*
Account Number:*
Roll No (if applicable):
Roll No (if applicable):

Insurance
Limited Company suppliers are required to have adequate public liability insurance to cover the services they provide. Please confirm below if the Limited Company has PL Insurance and complete required information and if possible attach a copy of the relevant insurance certificate to this registration so that we can verify this. If you do not have adequate cover in place we can arrange for cover to be put in place but as a Limited Company supplier you will be required to bear the cost of this.*
- Yes
- No
Insurance Company*
Expiry Date*
Certificate Number*
Limits of Insurance Held*

Declaration*
- By ticking this box, I agree to the declaration
Untitled
- By ticking this box, I wish to opt-out of the Conduct of Employment Agencies and Businesses Regulations 2003
Agree to terms and conditions*
- By ticking this box, I agree to the terms and conditions
Agree to Self-Bill VAT Agreement*
- By ticking this box, I agree to the Self-Bill VAT Agreement

Thank you for choosing Kanopi Contract Services, you’re just one step away from completing your registration!

Here at Kanopi Contract Services we pride ourselves on our compliance and part of that is ensuring we stay up to date with the various different regulations – ID being one of them.

Please attach a copy of your ID now if possible to save time later. We recommend that you provide us with a copy of your passport as below if available.

Alternatively, if this is not possible at this stage – please forward at your earliest convenience.
File
Drop files here or

Max. file size: 5 MB.
Thank you for choosing Kanopi Contract Services.

Here at Kanopi Contract Services we pride ourselves on our compliance and part of that is ensuring we stay up to date with the various different regulations – ID being one of them.

If you have a copy of ID for the individual you are registering for and only where you have permission to do so, please attach a copy now if possible to save time later. We recommend providing us with a copy of a passport as below if available.

Alternatively, if this is not possible at this stage – please forward at your earliest convenience.
File
Drop files here or

Max. file size: 5 MB.

If you have any questions on any of our services or need to discuss your requirements, please don't hesitate to get in touch.

01524 952777

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Contact Details

Brunel House
9 Penrod Way
Heysham
LA3 2UZ

t: 01524 952777

Company Number: 12092818

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