Practice Registration Form Enter your practice detials to register with A1 Locums: Practice name Address line 1 Address line 2 Address line 3 Town / city Post code County Select a county AberdeenAberdeenshireAlderneyAngleseyAngusArgyll and ButeAvonAyrshireBedfordshireBerkshireBristolBuckinghamshireCambridgeshireCarmarthenshireCheshireClackmannanshireClevelandClwydConwayCornwallCounty AntrimCounty ArmaghCounty DownCounty DurhamCounty FermanaghCounty LondonderryCounty TyroneCumbriaDenbighshireDerbyshireDevonDorsetDumfries and GallowayDunbartonshireDyfedEast LothianEast RidingEast Riding YorkshireEast SussexEdinburghEssexFifeFlintshireGlasgowGloucestershireGreater LondonGreater ManchesterGuernseyGwentGwyneddHampshireHereford and WorcesterHertfordshireHighlandsHumbersideHuntingdonshireIrelandIsle of ManIsle of WightJerseyKentLanarkshireLancashireLeicestershireLincolnshireLothianMerseysideMid GlamorganMiddlesexMidlothianMonmouthshireMorayNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOrkneyOverseasOxfordshirePembrokeshirePerth and KinrossPowysRenfrewshireRoxburghshireRutlandSarkShetlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStirlingshireStrathclydeSuffolkSurreyTyne and WearWarwickshireWest GlamorganWest LothianWest MidlandsWest Riding YorkshireWest SussexWestern IslesWiltshireWorcestershire Region Select a region Any RegionEast AngliaHome CountiesLondonEast MidlandsMidlandsWest MidlandsNorth EastNorth WestSouth CoastSouth EastSouth WestYorkshireScotlandWalesIrelandEuropeOverseas Telephone number Fax number Mobile number Email address Web-site Contact person Contact person's position I wish to receive email updates Yes No By selecting "Yes" you will receive occasional emails from our database regarding recruitment matters. By selecting "No" you will not receive emails from our database. Practices registered with A1 Locums may still receive emails from A1 Locums staff irrespective of this setting. I hereby give consent to the Company, A1 Locums, to process the personal data of Practice Staff, for the following purposes: For the Company to provide the Practice with recruitment services. For the Company to process with or transfer Practice personal data to A1 candidates in order to provide them with work-finding services. For the Company to process Practice data on a computerised database to provide the Practice with recruitment services. For the Company to process Practice data using automated decision-making processes where appropriate. I also give consent to the Company processing Practice Staff personal data with third parties to provide the Practice with recruitment services. I confirm my consent to the above A1 Locums GDPR Terms Verification code Please enter the characters shown to verify your submission.