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
NameKeearash Ardakani
Professional Registration Number2083415
Date of Birth15/05/1989
Signature (Locum)
Locum signature Date23/04/2024