PERSONNEL DATA FORM

PERSONAL DETAILS:

Title:

Forename/s:

Surname:

Date of Birth:

Gender:

Job Title:

Special Medical Conditions

(e.g. allergies):

Address:

Social Security Number:

Tax ID Number (PIN/TIN):

Home Telephone Number:

Mobile Telephone Number:

Email Address:
Name/s included above need to state the full name as shown on your Passport
(no shortened or abbreviated names will be accepted)

BANK DETAILS:

Declaration: I confirm that the bank details provided are for a personal account, held
in my name

Account Holders Name (as listed

on Bank Statement)

Bank Name & Address

Account Name:

Account Number:

Sort Code:

IBAN Number:

Swift Code:

Routing Bank Information

(If Applicable):

Please send a copy of an official supporting document confirming bank details included above
(e.g., bank statement) by email to your Fircroft Representative, any supporting documents should
show the full bank details and account name.
TRAVEL DETAILS:
Preferred Departure Airport:

Passport Number:

Valid From:

Expiry Date:

Nationality:
In the case of a Passport or other Travel Document, the following document sections must be
scanned & sent by email to your Fircroft Representative:

 Document Front Cover plus any page containing the Holder’s Personal Details
 Copy any page that provides details of Nationality, Photograph, Date of Birth, Signature, Date of
Expiry or Biometric Details
 Any page containing UK Government Endorsements showing that the holder has permission to
be in the UK and has the right to carry out the work in question

NEXT OF KIN INFORMATION:

Full Name:

Nationality:

Relationship to Worker:

Home Address
(if different to above):

Home Telephone:

Work Telephone:

Mobile Telephone:

Email:

Work Telephone:

Mobile Telephone:

Email:

Next of Kin Details Continued Below

1. Other Person/s To Be Contacted (Optional)

Full Name:

Nationality:

Relationship to Worker:

Home Address
(State Country):

Home Telephone:

Work Telephone:

Mobile Telephone:

Email:

2. Other Person/s To Be Contacted (Optional)

Full Name:

Nationality:

Relationship to Worker:

Home Address
(State Country):

Home Telephone:

Work Telephone:

Mobile Telephone:

Email:

We May Pass These Details Onto Another Agency In The Event Of An Incident

Completed Personnel Data Form needs to be returned to

your Fircroft Representative along with a colour copy of
your passport before your contracted start date.