Keytek® Application Pack - Keytek Locksmiths

Full Name*

Business Mobile Number*

Alternative Contact Number*

Email*

Address:

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Passport Sized Photo*

Proof of Accreditation / Qualifaction

(To include a breakdown of units covered and certificate

Proof of Identification

Drop files here or

(Passport or Driving Licence and a Utility Bill)

Public Liability Certificate [Current]

Drop files here or

(Public Liability Certificate)

Driving Licence No*

Vehicle Make*

Vehicle Reg*

Vehicle Model

Employment Status*

NI Number*

Do you have a UTR (Unique Tax Reference)?*

Yes
No

UTR (Unique Tax Reference) Number

Are you VAT registered?*

Yes
No

VAT Reg

Additional Skills & Services

Trading Status*

Company Reg*

Trade Qualifactions*

Trading Name

Reference Details:

Company / Name

Reference Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reference Number

Bank Account Details:

Bank Name*

Keytek hereby confirm the following 1-The details given by the sub-contractor will be entered directly into WorldPay secure system only and NO card details will be held in Keytek's system, database or paper filing system. 2- Only payments due will be taken from the sub-contractor's card. if any payments are taken in error then there will be refunded immediately.

Bank Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Account Number*

Sort Code*

Name*

First Last

Date*

Further notes / comments

Terms & Conditions*

I agree to the FuturePay Agreement
I agree to the Agreement of Services
I agree to the Sub-Contractor Assessment of Ability
I agree to the Paying in Agreement
I agree to the Self-Billing Agreement

All Terms & Conditions are linked below this form, please take your time to read through these before checking these boxes and submitting your application. If you forget to check off one of these boxes your application will not be processed.

Keytek Application Pack