Add Care Company
Care Company information
*Type of Organisation  
*Organisation Name  
 
Contact Details
*Title  
*First Name  
Initials
*Surname  
*Address  
*County  
*Post Code  
*Telephone  
E-Mail
Confirm E-Mail
 
Carer Status
*Type of Childcare being provided  
Are you an independent Provider?
Are you a part of chain?
Type of Approved Registration
Registration or Approval Number
Issue Date -
Expiry Date -  
Remittance advice by
Company Information
Company Name
Address
County
Post Code
Telephone
E-Mail(if available)  
 
Bank Information (for BACS Payment)
Account Name
Bank / Building Society Name
Sort Code- -
Account Number
Roll Number or Ref.No.
Would you like payment by:
BACS (plesae check your Bank or Building Society Accepts BACS Payments)
or
CHEQUE
 
Payment Address Details (for Cheque Payments)
If same as above tick yes
otherwise tick no and fill in below

 
Contact Details
*Title  
*First Name  
Initials
*Surname  
*Address  
*County  
*Post Code  
*Telephone  
E-Mail(if available)  
 

You confirm all the data is correct