Contact Information

Mr
ADAM
I do not have a Middle Name / Initial
SAMRA

Phone Numbers

Other United Kingdom +44 07778786168

Email Addresses

Primary alancooper3331@gmail.com

Current Address

United Kingdom
80 Warstones Road
Penn
Wolverhampton, West Midlands WV4 4LP
2018-Feb-01 - Current
 Personal Information

1982-Jan-26
SSN: 962-49-8626

Maiden/Alias Names

Dharminder Singh Sunner 1982-Jan-26 - 2020-Oct-01

Additional Questions - Personal Info

Title (for name)

Mr

Please select which document number you will be providing

Passport Number

Please provide the country of issue from the document number you selected above.
United Kingdom

Please provide the number of the ID document selected above

564373175

Sex
Male

Please copy/paste this link to review the Sensitive Application Route: (https://www.gov.uk/guidance/transgender-
applications) Disclosure and Barring Service (DBS) offers a confidential checking process in accordance with the
Gender Recognition Act 2004. This gives Transgender applicants the choice as to whether or not they are content for
their previous sex to be disclosed on their DBS Certificate. By checking this box I confirm that I have reviewed this
information.
I confirm I have reviewed the Sensitive Application Route

Have you changed your surname since birth?

Yes

Forename at birth
Dharminder

Surname at birth
Sunner

Surname used until

01/26/1982

Position applied for

Delivery

Place of birth - Town/City

Birmingham

Place of birth - Region/County

West midlands

Place of birth - Country

United Kingdom

Nationality at birth
United Kingdom

Have you changed your nationality since birth?

No

Do you have a passport?

Yes

Please provide your passport number

564373175

Please provide your passport country of issue

United Kingdom

Do you have a drivers licence or provisional drivers licence?

Yes

Please provide your driver's licence number

Samra801262a99vf

Please provide your driver's licence country of issue

United Kingdom

Do you have a National Insurance Number?

Yes

Please provide your National Insurance Number

Js831758c

Do you have a DBS Profile Number?

No

You will receive instructions in the post on how to access the certificate online through the DBS website. This will also
provide instructions on how to share the certificate with your employer if necessary. Your paper certificate will be sent
through the post. Do you wish to receive your paper certificate at your current address as noted above (Within U.K.
only)? If so, select Yes. If No, please be prepared to give us an alternate U.K. address.
Yes

Do you have any convictions, cautions, reprimands or final warnings, which would not be filtered in line with current
guidance? Please enter full details below or enter N/A if you have nothing to provide:
N/a

By checking this box, I confirm that I have read the Basic DBS Check Processing Privacy Policy and I understand how
DBS will process my personal data. Please copy / paste this link into your browser to read
https://www.gov.uk/government/publications/basic-dbs-check-privacy-policy
I have reviewed the Privacy Policy

I consent to the DBS providing an electronic result directly to the responsible organisation that has submitted my
application. I understand that an electronic result contains a message that indicates either the certificate does not
contain criminal record information or to await certificate which will indicate that my certificate contains criminal record
information. In some cases the responsible organisation may provide this information directly to my employer prior to
me receiving my certificate. I understand if I do not consent to an electronic result being issued to the responsible
organisation submitting my application that I must not proceed with this application and I should apply directly to DBS -
https://www.gov.uk/request-copy-criminal-record.
I consent

I understand that to withdraw my consent whilst my application is in progress I must contact the DBS helpline 03000
200 190. My application will then be withdrawn.
I consent

By checking this box, I confirm that I have provided complete and true information in support of the application and I
understand that knowingly making a false statement for this purpose is a criminal offence.
I confirm I have provided complete and true information

Location Info

In which country are you completing this process? United Kingdom

In which country is the organization located? United Kingdom
In which country will your activities be primarily located? United Kingdom (England or Wales)
In which country do you primarily reside? United Kingdom

Required Documents and Forms

Document or Form File Name

Required Document 16855509126965313931688685664493.jpg

Required Document Screenshot_20230519_070344_Samsung Notes.jpg

Required Document 16855510406594343610838835572434.jpg

 Consent to Use of Electronic Records and Signatures

You have the opportunity to complete and sign documents, as well as receive notices and other documents related to
your employment candidacy and background check, in electronic rather than paper form. To agree to these uses of
electronic documents and signatures, and to sign this document with the same effect as physically signing your name,
click the "Sign" button at the bottom of this page after reviewing the information below.

In order to sign, complete and receive documents electronically you will need the following:

A personal e-mail address

A computer or other device with standard e-mail software
Current version of Chrome, Firefox, Edge or Safari
A connection to the internet
A printer if you want to print paper copies

Alternatively, you may choose to use and sign paper versions of documents related to your application, including the
background check. To do so, please contact the company representative who sent you this request.

By clicking "Sign" below, you consent to electronically sign, complete and receive documents relating to your
application and background check during both this session and any future sessions relating to your application.
Additionally, you consent to electronically receive: communications relating to your application and associated
background check, including requests for additional information; notices of actions taken on your application required
by law, (including the Fair Credit Reporting Act for US consumers); and notices of your rights under applicable laws.

Your consent applies to documents completed, signed or provided via this website, as well as to documents
transmitted via email.

You have the right to withdraw your consent at any time by calling Sterling on 1-800-943-2589 (in the US only),
emailing client.support@sterlingcheck.com, or writing to: Sterling (ESign Center), 6150 Oak Tree Boulevard, Suite
490, Independence, OH, 44131 USA. If you withdraw consent, you will no longer have the ability to sign documents
electronically and to receive disclosures and other documents electronically. Your withdrawal of consent is prospective
only and will become effective after we have had a reasonable opportunity to act upon it. After withdrawing your
consent, please also contact the company representative who sent you this request to make arrangements to receive
paper copies of documents and communications.

If your contact information changes, please call Sterling on 1-800-943-2589 (in the US only), email:
client.support@sterlingcheck.com, or write to: Sterling (ESign Center), 6150 Oak Tree Boulevard, Suite 490,
Independence, OH, 44131 USA.

After consenting, you can obtain copies of documents and communications relating to your candidacy and associated
background check by: (1) using your browser to print paper copies or save electronic copies of documents or screens
during this session and future sessions; (2) selecting one of the options on the “Confirmation” page at the end of this
session; or (3) calling Sterling on 1-800-943-2589 (in the US only) or emailing client.support@sterlingcheck.com to
request that paper copies be mailed to you at no charge.
I understand that by typing my name where indicated below, and then clicking on “Sign”, I consent to the use of
electronic records and signatures in the manner described above, and the electronic storage of such documents.

Type name: Adam samra

 Global Privacy Notice

Uber Eats UK ("we" or "us") has engaged Sterling Infosystems Inc. and its subsidiaries around the world (collectively,
“Sterling”) to conduct background screening services before and during volunteer, tenancy or other contractual
relationships. You can find complete information about how Sterling handles and protects your personal information
and how to contact Sterling here.

Sterling's services include verification of some or all of the following types of information, depending on the services
ordered by Uber Eats UK:

Address, contact information and address history

Criminal, police or court records*
Driving records
Education history
Eligibility to work
Volunteering history, including fiduciary or directorship responsibilities
Financial history, including credit history, bankruptcy and financial judgments*
Gap activities, including travel
Health information, including drug tests*
Identity, including identifying numbers and identity documents*
Inclusion on watch or sanctions lists*
Membership, registration or disciplinary action with regulatory or professional bodies
Mentions in online or print media
Other people's opinions about your performance or character
Social media activity

We may collect some personal information that is sensitive or subject to special protections under the law
where you reside. These are denoted with an asterisk (*) in the list above. A complete list of the types and sources of
personal information we and Sterling may collect to carry out these services are listed here. Some of these checks
can only be carried out for specific roles or in certain countries. To understand exactly which types of personal
information will be collected in your case and how they will be used, contact Uber Eats UK.

Your personal information is collected and processed based on one or more of the following:

It is necessary for us to carry out obligations in our contract with you.

It is necessary for us to comply with our obligations under laws.
We have legitimate interests to do so, taking into consideration your rights. Our legitimate interests may include one or
more of the following:
Ensuring the reliability of contractors
Protection of our workers, property and reputation
Compliance with foreign laws
Compliance with contractual obligations
We have your freely given, specific, informed and unambiguous consent.
It is otherwise permitted by law.

Sterling may share your personal information with third parties to validate its accuracy or obtain specialized
services, such as data storage or translation services. Information about how Sterling may share your personal
information can be found here.

Sterling will retain your personal information until we instruct them to delete it. Retention periods are determined
based on applicable laws and our business requirements. To understand how long we and Sterling may retain your
personal information, contact Uber Eats UK.

Sterling will store your personal information in the United States (if the URL bar at the top of your screen says
“workforce.sterlingcheck.app”) or the European Union (if the URL bar at the top of your screen says
“workforce.eu1.sterlingcheck.app”). Once data is stored, Sterling may also process your personal information in the
United States, Mexico, the United Kingdom, Poland, India and the Philippines. Sterling may also share your personal
information with third parties in other countries to collect or translate information, such as your educational
qualifications or employment history, from countries or regions where you have lived, worked or studied. Where there
are legal restrictions on transfers of personal information, these transfers are done based on one or more of the
following:

Regulators have decided that personal information will be adequately protected in the country to which it is
transferred. This is the case for personal information transferred between the EU, Switzerland and the United
Kingdom (collectively, “Europe”), and personal information that is transferred from Europe to Canada, but not for
information transferred from Europe to the United States, Mexico, India or the Philippines.
We have signed contractual clauses with Sterling that are deemed by the relevant authority to ensure adequate
protection of personal information.
We have your consent for us to transfer your personal information outside of your country of residence.
The transfers are otherwise permitted by law.

You can find more information about international transfers of personal information here.

You may have legal rights concerning how we or Sterling handle your personal information, including rights to
access, correct or delete your personal information, have it sent to another organization, restrict or object to its
processing or complain to a regulator about how it is handled. You can find information about these rights here. To
exercise these rights, contact Uber Eats UK or Sterling.

Providing your information to Sterling is voluntary. If your personal information is collected based on your
consent, you may also withdraw that consent. If you choose not to provide your personal information, or if you
withdraw consent, Sterling will not be able to complete services on our behalf. To understand the consequences of
deciding not to provide your personal information, contact Uber Eats UK.

Global Authorization

By signing or otherwise making a mark below, you authorize us, Sterling and Sterling's service providers to do the
following:
Collect and process your personal information as described above and here, including collection and processing of
sensitive personal information.
Share your personal information with, and obtain information from, the following third parties as necessary to carry out
the requested services: police, courts, suppliers of court and police information, employers, employment agencies,
educational institutions, credit and consumer reporting agencies, government agencies and other public bodies,
regulatory or professional bodies, references you provide, other organizations with which you have been associated,
and other publicly available print or online sources. You understand that these third parties may be located in
countries or regions other than your country of residence, including places where you have previously lived, studied or
worked.
Where necessary, act as your agent to share or obtain your personal information when carrying out the services.

You declare that the information you provide to us and to Sterling is complete and accurate to the best of your
knowledge. You understand that we will rely on the information you have provided when making a decision about your
relationship with us, and a false statement or omission of facts may disqualify you from, or otherwise affect, your
relationship with us.

This authorization is valid for the duration of your relationship with us, to the extent permitted by law.

Please Type Your Name * Adam samra

Dated (mm/dd/yyyy) * 5/31/2023

For Purposes of Audit - E-SignID: 34663742, Adam samra, Date Signed on 5/31/2023 at 12:19 PM -04:00