Consent | I confirm |
---|---|
Please select below if you do/do not agree for your personal data to be made available to any 3rd party without direct supervision from a member of staff from TLA or myself being present. |
|
I confirm that I give my permission to The Locum Agency to share my data with Total Assist Recruitment | I do |
Department | TLA |
Name | Mohamed Kawan |
Professional Registration Number | BS70305 |
Date of Birth | 20/09/1971 |
Signature (Locum) | |
Locum signature Date | 02/10/2024 |