Freelance Record Form

Please fill out this form for the attention of DB Systems. The aim of this form is to enable DB Systems Ltd to request your employment for projects that best suit your abilities.

Fields marked with a * are required.

* Surname

* Forenames

* Address

* Postcode

* Date of birth

* Telephone

* Email

Website

Job Specifics

Standard daily rate

Special skills
e.g. languages

Skills

5. Very Experienced
4. Experienced
3. Proficient
2. Basic Knowledge
1. No Experience

Audio (Rig & Operation)		Exhibitions (general)
Lighting (moving head)		Plasmas (general)
Lighting (fixed head)		P.C's and Laptops
Projectors		TFT Monitors
PowerPoint (operation)		Touch Screens
PowerPoint (design)		Specialist Driving (pickers)
Camera (rig & operation)		Video Wall (LED)
Video Mixing		Video Wall (Plasma)
Stage Set & Build		Project Management
Projection Screens		First Aid
Show Calling		Rigging (truss etc.)

Personal Business & Working Details

VAT Number
(if applicable)

Self Assessment Number

Driving licence
(We will require a copy
of this document)

Yes No

7.5t licence
(We will require a copy
of this document)

Yes No

HGV licence
(We will require a copy
of this document)

Yes No

Other Vehicle Licences

Passport

Yes No

Travel Restrictions

Public Liability Insurance

Yes No

Public Liability Policy Number

Public Liability Expiry Date

Public Liability Amount

Emergency Contact Details

Next of Kin

Next of Kin Relationship To You

Emergency Contact Number
(and name if different)

Medical Conditions
(that we should be aware of)

Any Other Information

Is there any other information you think we might like to know about you?

Any Other Information

Equipment Search

Contact Us

Freelance Record Form

Job Specifics

Skills

Personal Business & Working Details

Emergency Contact Details

Any Other Information