Please only fill out this form if you have been advised to do so by a member of staff. Consent to act as a third party Step 1 of 2 50% Name* First Last Phone* Further to our conversation I can confirm that I would like Rem Technical Recruitment Limited (the “Company”) to represent me in my applications to relevant roles. I believe the Company would be best placed to represent me in my applications to their clients and will not instruct other agencies for the same clients. If you could inform your client of this, that would be greatly appreciated. Consent* I Consent I Do Not Consent Data Protection I consent to the Company holding and processing my Personal Data and have understood the Company’s Privacy Notice. I am aware that I have the right to withdraw my consent at any time by informing the Company, in writing, that I wish to do so by post or email (firstname.lastname@example.org). In doing so, I may not be contacted regarding job opportunities. Consent* I Consent I Do Not Consent Thank you, to record your response please continue by pressing the submit button below.