Office Address: Business First Unit 110, Millennium Road, Ribbleton, Preston, Lancashire, England, PR2 5BL Call for help: 0208 126 6963 0208 126 6158 Email accounts@intalyticumbrella.co.uk Date of Birth Right to work-Passport and Visa As Required Proof Of Address - Utility Bill, Council Tax, Driving Licence Proof OF Bank Details - Bank Statement I authorize Intalytic Umbrella to process my payroll and pay any money due to me into the above bank/building society account. YesNo Sign Up Sign Up First Name(Required) Middle Name Last Name(Required) Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone(Required)Email(Required) Marital Status(Required) Nationality(Required) Address(Required)Post Code(Required) Share Code NI Number(Required) Account Number(Required) Bank Name(Required) Sort Code(Required) Job Title(Required) RGN RMN BAND 6 HCA ITU ODP RNLD Others Please select as needed or write in the comments if your specialty is not mentionedCommentsAgency Name(Required) RIGHT TO WORK - PASSPORT AND VISA AS REQUIREDAccepted file types: (jpeg, png, pdf, csv, doc, docx, xls, xlsx, jpg, html), Max. file size: 5 MB.PROOF OF ADDRESS - UTILITY BILL, COUNCIL TAX, DRIVING LICENCEAccepted file types: (jpeg, png, pdf, csv, doc, docx, xls, xlsx, jpg, html), Max. file size: 5 MB.PROOF OF BANK DETAILS - BANK STATEMENTAccepted file types: (jpeg, png, pdf, csv, doc, docx, xls, xlsx, jpg, html), Max. file size: 5 MB.PROOF OF NI - P60, P45, NI CARD OR TAX LETTERAccepted file types: (jpeg, png, pdf, csv, doc, docx, xls, xlsx, jpg, html), Max. file size: 5 MB.Please Attach the above documents
