Bank Account Details

Where wages/ salary to be paid:

Emergency Contact Details

Declaration

Medical Information

Strobe Lights

First Choice Labels Ltd operates machinery which incorporates strobe lighting. Please advise on this form if you have had, or are likely to suffer any medical problems which may be triggered whilst using this equipment.

Additional Support

Please advise on this form if you have any form of allergies, medical condition and/or on medications which may require you to receive additional support from First Choice Labels Ltd. Please select which applies.

Dyslexia

Due to the nature of our business, spelling and grammar are really important to us. Please advise on this form if you have any form of dyslexia which may require you to receive additional support from First Choice Labels Ltd. Please select which applies.

Disclaimer

I have read and understood all the information above and have made management aware if any of the above are relevant. I understand that if I knowingly withhold this information then I will likely be dismissed from the Company as a result.