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
I confirm that I give my permission to The Locum Agency to share my data with Total Assist RecruitmentI do
DepartmentTLA
NameTEST TEST
Professional Registration NumberTEST
Date of Birth08/02/2024
Signature (Locum)
Locum signature Date15/02/2024
Signature (TLA)