New Employee Form

Employee's Personal Details

Name(Required)

First Last

Male or Female(Required)

Title(Required)

Date of Birth(Required)

Shift

Nationality(Required)

Contact Number(Required)

Address(Required)

Street Address Address Line 2 City / Town County / Region Post Code Country

National Insurance Number(Required)

Email Address(Required)

Settlement Status Code

Passport Cover and Passport Photo(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Employee Statement

Tick one of the following statements - A, B or C:(Required)

A: This is my first job since last April 6th and I have not been receiving taxable Job Seeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State Pension or Occupational Pension.

B: This is now my only job but since last April 6th I have had another job, or received taxable Job Seeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State Pension or Occupational Pension.

C: As well as my new job, I have another job or receive a State Pension or Occupational Pension Student Loans (advanced in the UK).

Please tick box if you left a course of UK Higher Education before last April 6th and received your first UK Student Loan installment on or after September 1st 1998 and you have not fully repaid your Student Loan (Do not tick box if you are repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank account or building society).

Signature(Required)

Bank Details

Account Holder's Name(Required)

Bank(Required)

Account No.(Required)

Sort Code(Required)

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First Choice

Second Choice

Third Choice

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