Register - your details Please have your proof of employment details ready before you begin completing this form.

Please read our Privacy and Cookie Notice before completing this form.

The registration form asks whether or not you consider yourself to have any disabilities (and if so what they are).

That’s an optional question so you are free not to answer it and there are no consequences for you if you don’t.

By answering it, or by providing any other sensitive information**** "Sensitive information" means personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, genetic data, biometric data for the purpose of uniquely identifying an individual, data concerning health or data concerning an individual's sex life or sexual orientation) and/or criminal data (criminal offences or related security measures, including the alleged commission of offences, proceedings for an offence committed or alleged to have been committed or the disposal of those proceedings, including sentencing). in freetext boxes and submitting the form, you will be giving us explicit consent to use that information so that we can potentially develop the relevant benefits.

If you give consent now, you can withdraw it at any time. This will not affect the legality of our consent-based use before you withdrew consent. To exercise your right to withdraw, please contact us.

The questions marked * are mandatory – the others are optional (you are free not to answer them and there are no consequences for you if you don’t).

Please give this information as it appears on your birth certificate.

Please give this information as it appears on your birth certificate.

Please only complete this box if you would like us to use the information to develop relevant benefits.

Please enter either the first line of your address or your postcode to find your address from the look up.

Please provide at least one telephone number in the format 01234 567190, If you are providing an international number, please include your country and area code.


Please provide some details about your education.


Please provide some details about your employment.


What retirement provisions do you have in place?

Please only include sensitive information in this box if you would like us it to develop relevant benefits.

We would like to use your email address and address, and may use your mobile number, to inform you of Trust benefits and to send you news by email, post or text. This is in our legitimate interests.

This is not "direct marketing": as an employee benefit trust, we distribute benefits to beneficiaries; we do not want to advertise, promote or sell you goods or services, nor do we want donations from you.

Please read the important note about MailChimp. If you'd rather NOT hear from us, you can tick the boxes below.

Please consider this carefully because if you do opt out, the eaga Trust will be unable to contact you meaning you will no longer receive information about the Member Benefits including: Trust Share, Holiday Homes, Skill-builder Plus, Higher Education Bursaries, Reboot and the other Benefits that the Trust provides to members currently. Furthermore, you would miss out on information about new Benefits in the future.

If you do want to hear from us, we’ll keep you up to date with the latest Trust news, but rest assured we’ll never bombard you with communications. You can opt out at any time. You can also change your preferences whenever you wish by updating your profile in the members' area of the website.

Important note about MailChimp

By not opting out of email, you expressly consent to us sending your name and email address to our email service provider, MailChimp. MailChimp will store your data in the US and may use email content to spot problem accounts and create better experiences for senders and subscribers. MailChimp is in the EU-US Privacy Shield.

For further details of how MailChimp use your data, please see MailChimp's cookie statement, privacy policy and terms of use and section 4.2 of our Privacy and Cookie Notice.