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Agency Registration Form

Complete all fields to register a new healthcare recruitment agency

Contact Information

Primary Email *

Phone Number *

Contact Person Name *

Job Title

Address Information

Street Address *

City *

Postcode *

Country *

Subscription Plan

Basic Plan

£29/month

• Up to 5 users
• Basic features
• Email support
• 1GB storage

Standard Plan

Recommended

£79/month

• Up to 25 users
• All basic features
• Priority support
• 10GB storage
• Advanced analytics

Premium Plan

£199/month

• Unlimited users
• All features
• 24/7 phone support
• Unlimited storage
• White-label options

Initial Settings

Trial Period

Initial User Limit

Time Zone

Currency

Compliance & Permissions

GDPR Compliance - Agency agrees to comply with GDPR regulations for data protection

NHS Background Checks - Agency will conduct proper NHS background checks for all healthcare workers

CQC Registration - Agency is registered with the Care Quality Commission (if applicable)

* Terms & Conditions - I agree to the platform terms and conditions

Admin User Account

Admin First Name *

Admin Last Name *

Admin Email *

Send Welcome EmailSend login credentials via email

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