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Contractor Application
Contractor Application
Name of Contractor (trading name):
*(required)
Registered Company Number
*(required)
Other names of Proprietor if different to trading name
*(required)
Address for all correspondence:
Telephone number:
Mobile Number
Email Address
Website
Please attach file types format pdf doc csv gif or png with supporting information below. File size limit 5Mb
Contractor Insurances Please provide a copy of current policy cover
CIS Card (all self employed contractors)
Yes
No
Health and Safety Policy
Yes
No
Gas Safety Registration Certification
Yes
No
NICEIC Registration Certification
Yes
No
Please list details and copy certifications of any other trade, professional or relevant organization or bodies you belong to E.g CHAS, BALI
TRADES / AREAS OF WORK YOU HAVE EXPERIENCE OF
Decorations (internal)
Decorations (external)
General Maintenance
Plumbing
Electrical
Gas
Brickwork / Masonry
Joinery / Carpentry
Drainage / Externals
Electrical
Gardening
Cleaning
Fire Doors
Fire Stopping / Compartmentation
Handyman / General Minor Works
Other, Please State :
Major Contract work subject to specification and tender
Yes
SIZE OF CONTRACT YOU CAN DEAL WITH
Up to eur 2,500
Up to eur 10,000
Up to eur 25,000
Over 25,000
Maximum contract size you can consider (please be realistic)
HM REVENUE & CUSTOMS
VAT Registration Number:
CIS Registration:
ADDITIONAL INFORMATION
Do you and/or staff carry identification (other than customized clothing):
Yes
No
If Yes what form does this take?:
Do you operate from clearly liveried vehicles:
Yes
No
How many Staff are qualified ‘First Aid at Work’?
How many Staff have attended a First Aid course of any description?
Please attach file types format pdf doc csv gif or png with supporting information below. File size limit 5Mb
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Address
137-139 | High Street | Beckenham | Kent | BR3 1AG
Tel. 020 8658 6824