CIS Registration - Valegro Pay Ltd

* Required field

Most text fields accept letters, numbers, and spaces only (no commas or symbols). Dates, email, phone, bank details, and pay rate use their own formats.

Section 1 — Personal Details

First Name:

Last Name:

Date of Birth:

Nationality:

National Insurance Number:

Format: 2 Letters, 6 Numbers and a Letter. Example: AB123456C

UTR Number:

Format: 10 digits.

Phone Number:

Email Address:

Section 2 — Address Details

Address Line 1:

Address Line 2:

Town / City:

County:

Postcode:

***Please do not use any commas in the address fields.***

Section 3 — Payment Details

Bank Name:

Account Name:

Sort Code:

Enter 6 digits — formatted automatically as 00-00-00.

Account Number:

Format: 8 digits.

Section 4 — CIS Status Declaration

Business Type:

Limited Company Name (if applicable):

Company Registration Number (if applicable):

Section 5 — Right to Work (UK Compliance)

Country of Birth:

Right to Work in the UK:

Yes

Passport Provided:

Yes

Visa / Share Code (if applicable):

Section 6 — Assignment Details

Company / Agency Name:

Assignment Start Date:

Site Location:

Job Role / Trade:

Agreed Pay Rate:

Section 7 — Emergency Contact

Full Name:

Relationship:

Phone Number:

Section 8 — Declarations & Authorisation

I confirm that the information provided is accurate. I authorise Valegro Pay Ltd to verify my CIS status with HMRC. I consent to GDPR data processing and agree to electronic payroll communications.

I agree to the above declaration.

Section 9 — Right to Work Document

Passport / Right to Work Document (optional) Upload a single file (PDF or image). The photo must show the whole document including all 4 corners, in focus, no flash or reflections.

Section 10 — Digital Signature

Full Name:

Submission Date:

Signature *

Draw your signature in the box below

Signed at: Not signed yet

CIS Operative Registration