United Drylining Limited - Registration Details.

Company Details: Personal Details:

Company Name: First Name:

Surname:

Company Number: National Insurance Number:

Company UTR: Unique Tax Ref.

Contact Information: Mobile Number:

Address: Email Address:

Emergency Contact:

Post Code: Emergency Contact Number:

CSCS Card: (Any applicable training/ Qualifications – Please attach with form)

Skill Card CSCS Number: CSCS Expiry Date:

Any other training:

Insurance:

Liability Insurer: Policy Number:

Renewal Date: Amount of cover provided:

Bank Payment Details:

Bank Name: Sort Code:

Account Name: Account Number:

Declaration: Please tick:

I have completed and checked the above personal details and understand that unless all the details are completed
correctly and in full, payments cannot be made.

I understand that invoices are to be submitted by 9am on Monday following the week in which the work was undertaken
and will be paid by bank transfer on the Friday of that week. Invoices received after this deadline will be paid the
following week. Please send all invoices to accounts@uniteddrylining.co.uk.

I understand that whilst on site it is my responsibility to maintain and wear all necessary personal protective equipment.
You will be supplied with a “United Drylining” high-vis vest and hard hat by the site supervisor on commencement.

I confirm that I am required to maintain suitable public liability insurance with a minimum of £l million cover for the
duration of my works. (Please attach a copy of your insurance with this form.)

I understand I am working as a sub-contractor.

Signed: Date: