Name Birth Date Address Post Code Phone Number Upload Photo Distinctive marks ( tattoos, marks etc) Eye Colour Hair Colour Height In case of Emergency/ Next of Kin Name: Next of Kin Address: Next of Kin Phone: Relationship To You I consent to the below: I give permission to Arise Teen Support to hold my personal details and to be used if I cannot be contacted on my work phone or if I cannot be reached while lone working. I give permission to Arise Teen Support to contact my next of kin in case of an emergency. I give permission to the manager or person on duty to access this information, it cannot be used for any other purposes excepts these mentioned above. This document will be destroyed on end of employment with Arise Teen Support. Print Name as signature Upload Signature in .png, .jpg , jpeg (optional) Submit Staff Personal Details
