Company ..................................               Telephone No ..............................

Address .........................................................................................................

.......................................................................................................................

Reporting to: .......................................     Position ........................................

Mr/Mrs/Miss/Ms .......................................

Temporary Position ...................................

Start Date ...........................................

Week commencing .........../.........../...........

It is hereby certified that the above, by the signatures appended hereto, represent a true and accurate record of the period of of employment undertaken by the Temporary Employee for the Employer on behalf of and at the instance of New Frontiers (UK) Ltd. and subject to its Terms and Conditions of Business, receipt of which the Employer acknowledges, and Terms of Engagement, receipt of which the Temporary Worker acknowledges, and that the Temporary Worker is eligible to work in the UK.

........................................................... Signed (Temporary Worker)

........................................................... Signed For and on behalf of the Employer

........................................................... (PRINT NAME & POSITION)

In the event that you are requested to work in excess of 48 hours in any one week, please ensure that you obtain a signed request from your employer, sign this yourself, and send to New Frontiers.
(Working Time legislation 1998)