Create Your Account

Complete the form below to register with Kome Care. Fields marked * are required.

Personal Information

Your basic contact and personal details

First Name *

Last Name *

Email Address *

Phone Number *

Gender *

Job Title *

Residential Address *

Town / City *

Postcode *

Proof of Address *

Choose file or drag here

Share Code optional

Passport

Upload a clear copy of your valid passport

Passport Document *

Choose file or drag here

Issue Date *

Expiry Date *

DBS Certificate optional

Disclosure and Barring Service check document

DBS Document

Choose file or drag here

Issue Date

Expiry Date

Training Certificate optional

Any relevant care or professional training certificates

Training Certificate

Choose file or drag here

Issue Date

Expiry Date

First Reference

A professional reference from a previous employer

Full Name *

Phone Number *

Official Email *

Company Name *

Second Reference

A second professional reference from a different employer

Full Name *

Phone Number *

Official Email *

Company Name *