E-Mail Opt in Request
 

E-Mail Opt in Request to Employer
The following information will be e-mailed to your employer's email ID.

About you (*) = required fields.
  Your Full name Mr. Redford, Robert
  Your Employer's name Demo Employer Limited
  Your National Insurance number (NINo) NR123456A
  Your date of birth 02/04/1975
  Date you completed this form on Date of Birth
(DD/MM/YYYY)
  Type of Opt in