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Complete this form to acknowledge receipt of your King George V site induction.

KGV Site Induction Acknowledgement

success_redirect_link: /thank-you-kgv-site-induction-acknowledgement/

Name of person completing Induction:

[text* inductionFirstName autocomplete:given-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:First-Name class:fs-lg-p-b placeholder "First"]

[text* inductionLastName autocomplete:family-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Last-Name class:fs-lg-p-b placeholder "Last"]

Date Induction completed and understood:

[date* inductionDate wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Date-Induction-Completed-and-Understood class:fs-lg-p-b placeholder "DD/MM/YYYY"]

[text* siteInductionVersionNumber wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Site-Induction-Version-Number class:fs-lg-p-b placeholder "Site Induction Version Number"]

RoDMA Staff or Contractor? *

[checkbox roDMAStaff wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:RoDMA-Staffr class:fs-lg-p-b "Staff"]

[checkbox roDMAContractor wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:RoDMA-Contractor class:fs-lg-p-b "Contractor"]

Please add your email address to this form, a copy of the completed form will be sent to you. *

[email* inductionEmail autocomplete:email wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Email class:fs-lg-p-b placeholder "Email Address"]

By signing this form you are confirming that you have read and understood the KGV Lock Site Induction and will adhere to the site rules. Failure to adhere to the site rules may result in immediate removal from the site. *

[signature acknowledgementSig]

[submit "Submit"]

Name of person completing Induction: [inductionFirstName] [inductionLastName]
Date Induction completed and understood: [inductionDate]
Site induction Version number: [siteInductionVersionNumber]
RoDMA Staff or Contractor: [roDMAStaff] [roDMAContractor]

Induction Email Address: [inductionEmail]


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