CIS / Self Employed Registration Form Worker informationTitlePlease select an optionMrMrsMissMsDrProfName* First Last PhoneMobile phone*Email* Street address 1*Street address 2*Street address 3County / regionPostcode*Date of birth* DD MM YYYY GenderMaleFemaleNationality*Please select your nationalityBritishAfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianI-KiribatiIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNi-VanuatuNicaraguanNigerianNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabweanHave you worked in the UK before?*YesNoAre you supervised, directed, or controlled?YesNoJob titleAgency name*NI Number*UTR NumberIf in construction, please enter your UTR number.Building society referenceID upload Drop files here or Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, txt, rtf. Please upload your identified here. Supported file types are: jpg, jpeg, gif, png, pdf, doc, docx, txt, rtf and the maximum file size is 2mb.Bank informationBank name*Bank account name*Bank account number*Sort code*DeclarationsQPS Terms and Conditions* I agree to the QPS terms and conditions.CIS Terms and Conditions* I agree to the CIS Terms and ConditionsCriminal convictions I confirm that I have no unspent criminal convictions, as declared under the Rehabilitation of Offenders Act 1974Privacy policy* I agree to the privacy policy.Identification* I agree to send a copy of my identification.If not already supplied during the registration process.Accurate information* I declare that the information I've submitted is accurate.Communications and personal dataCommunications consent I agree to receive other communications from Quest Pay Solutions.Quest Pay Solutions is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick this checkbox to accept these communications.Personal data consent I agree to allow Quest Pay Solutions to store and process my personal data.*In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick this checkbox.You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.Hidden mapping fieldsintTaxBasisintPayTypebInIsCISintPaymentBasisintPaymentMethodstrMethodOfCommunicationstrProductSubTypeNameThis field is for validation purposes and should be left unchanged. Quest Pay Solutions sub-contractor contract 1 file(s) 211.35 KB Download Letter of engagement 1 file(s) 172.46 KB Download