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    Next of Kin Registration Form

    Uploaded by

    haryantojogjaboy
    This form collects next of kin contact information for an approved consultant of CommsResources in case of a medical emergency. It requests the consultant's name, passport number, date of birth, address and languages spoken, as well as their next of kin's name, relationship, address, phone numbers, email, and any alternative languages. The consultant's signature is required, and checking the box replaces a previous next of kin form. CommsResources will keep the information private and confidential per UK data protection laws.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Next of Kin Registration Form

    Uploaded by

    haryantojogjaboy
    1K views1 page
    This form collects next of kin contact information for an approved consultant of CommsResources in case of a medical emergency. It requests the consultant's name, passport number, date of birth, address and languages spoken, as well as their next of kin's name, relationship, address, phone numbers, email, and any alternative languages. The consultant's signature is required, and checking the box replaces a previous next of kin form. CommsResources will keep the information private and confidential per UK data protection laws.

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    This form collects next of kin contact information for an approved consultant of CommsResources in case of a medical emergency. It requests the consultant's name, passport number, date of birth, address and languages spoken, as well as their next of kin's name, relationship, address, phone numbers, email, and any alternative languages. The consultant's signature is required, and checking the box replaces a previous next of kin form. CommsResources will keep the information private and confidential per UK data protection laws.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Next of Kin Registration Form

    Uploaded by

    haryantojogjaboy
    This form collects next of kin contact information for an approved consultant of CommsResources in case of a medical emergency. It requests the consultant's name, passport number, date of birth, address and languages spoken, as well as their next of kin's name, relationship, address, phone numbers, email, and any alternative languages. The consultant's signature is required, and checking the box replaces a previous next of kin form. CommsResources will keep the information private and confidential per UK data protection laws.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Northside House, 5th Floor,

    69 Tweedy Road,
    Bromley, BR1 3WA,
    Kent,
    UK

    NEXT OF KIN REGISTRATION FORM APPROVED CONSULTANT


    In the event of a medical or other emergency involving yourself, CommsResources may need to contact your next of
    kin. Please provide the details below.
    CommsResources hold all personal information subject to the provisions of the Data Protection Act (1998). Your
    personal details will be kept strictly private and confidential and no part of your data held by the Company will be
    released to any third party including your next of kin without your written permission.
    Approved Consultant Information:
    Name:
    Tel:

    Passport No:
    Date of Birth:

    Address:
    Next of Kin Information:
    Name:

    Relationship to you:
    you:
    Parent

    Guardian

    Son or
    Daughter

    Sibling

    Spouse/Partner

    Other (Please specify)

    Home Address:

    Telephone
    Numbers:

    Country:

    Postal
    Code:

    (Home)

    (Business)

    Email Address:

    Fax:

    Please be aware that all formal CommsResources correspondence is in English; however, if your next of kin is not fluent in
    English, CommsResources will endeavour to contact your nominated person using their preferred languages where possible.
    Language(s) spoken by Next of Kin (if not English):
    Approved Consultant
    Signature:

    Date:

    Please tick box if this replaced a Next of Kin form already submitted:

    Signature:

    ...............................................................

    Name:

    ............................................................... (Approved Consultant)

    Date:

    ..............................................................

    COMMSRESOURCES LTD
    Registered in England 2630522
    VAT Registration No. 927 2866 91

    CONTACT DETAILS
    Tel: +44 (0) 20 8313 6600
    Fax: +44 (0) 20 8313 6601

    E-CONTACTS
    mail@commsresources.com
    www. commsresources.com

    COMMSRESOURCES an ICT Employment Business. Registered Address: Northside House, 5th Floor, 69 Tweedy Road, Bromley, Kent BR1 3WA, UK

    International Offices

    London

    Riyadh

    Dubai

    Kuala Lumpur

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