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 do not
I confirm that I give my permission to The Locum Agency to share my data with Total Assist RecruitmentI do
DepartmentTLA
NameAmineh Zarepour
Professional Registration Number2221461
Date of Birth08/05/1986
Signature (Locum)
Locum signature Date15/12/2023