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
NameDavid Smith
Professional Registration Number2081724
Date of Birth17/02/1987
Signature (Locum)
Locum signature Date12/01/2024