Umbrella Registration - Valegro Pay Ltd

Section 1 — Personal Details

First Name:

Middle Name(s):

Last Name:

Date of Birth:

Nationality:

Country of Birth:

National Insurance Number:

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

Mobile Number:

Personal Email Address:

Section 2 — Address Details

Address Line 1:

Address Line 2:

Town / City:

County:

Postcode:

Time at Current Address:

Section 3 — Payroll & Bank Details

Bank Name:

Account Holder Name:

Sort Code:

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

Account Number:

Format: 8 digits.

Building Society Roll Number (if applicable):

Preferred Payment Frequency:

Section 4 — HMRC Starter Declaration

Please tick one statement:

Statement A — This is my first job since 6 April.

Statement B — This is now my only job.

Statement C — I have another job and/or pension.

Student Loan:

Yes

No

If yes, plan:

Section 5 — Right to Work & Identity Verification

Legal Right to Work in the UK:

Yes

No

Visa Expiry Date (if applicable):

Share Code:

Share Code Expiry Date:

Documents Provided:

Passport

Visa / Share Code

Biometric Residence Permit

Driving Licence

Proof of Address

National Insurance Proof

Upload passport scan or photo files: Photos must show the whole document including all 4 corners, in focus, no flash or reflections.

Section 6 — Assignment Details

Recruitment Agency / Company Name:

Consultant Name:

Assignment Start Date:

End Client / Hirer:

Site Location:

Job Role / Trade:

Expected Weekly Hours:

Agreed Pay Rate:

Payment Type:

Section 7 — Emergency Contact

Full Name:

Relationship:

Contact Number:

Section 8 — Pension Auto-Enrolment

I acknowledge that I may be automatically enrolled into a workplace pension scheme.

I consent to receive pension communications electronically.

Section 9 — Employment & GDPR Declarations

I authorise Valegro Pay Ltd to process my personal information for payroll and compliance purposes, and acknowledge receipt of the privacy / GDPR notice.

I confirm the information provided is accurate, understand PAYE / NI deductions will apply, consent to electronic payroll communications, and agree to the company terms and policies.

Section 10 — Digital Signature & Authorisation

Full Name: *

Submission Date: *

Signature *

Draw your signature in the box below

Signed at: Not signed yet

PAYE Umbrella Operative Registration