Employee Details

Company/Client Name:

Title:

Forename:

Middle Name(s):

Surname:

Address line 1:

Address line 2:

Address line 3:

Postcode:

E-mail Address:

National Insurance Number:Applied ForEnter National Insurance Number

National Insurance Number:

Date of Birth:

Marital status:

Gender:FemaleMale

Department (if applicable):

Bank Account Name:

Employee Bank Account Number:

Sort Code:

Work Start Date:

Do you have a Postgraduate Loan:YESNO

Do you have a student loan:YESNO

Student Loan Type:Type 1Type 2Type 4

Contracted Hours:

Are you a director of this Company?

Date Directorship begins:

Attach your P45:YESNO

Upload P45 File:

Payment Method:

Payment Frequency:

Gross Annual Salary:

Select which best describes your situation since 6th April:A. This is my first job since last 6th April and I have not been receiving taxable Jobseeker’s allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.B. This is now my only job, but since last 6th April I have had another job, or have received taxable Jobseeker’s allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.C. I have another job or receive a state or occupational pension.

Any other comments:

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