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Next of Kin Registration Form

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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5K views1 page

Next of Kin Registration Form

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.

Uploaded by

haryantojogjaboy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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
[email protected]
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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