First Name *

Last Name *

Title *
MrMrsMissOther

Known as

D.O.B. *

Email *

Which company will the employee be employed by? *

Employees job title *

Please indicate a start date *

What is the employees pay rate? *

What is your Leeds address? *

What is your postcode? *

What is your correspondence address? This is where your post will go *

What is your phone number? *

Emergency contact name *

Relationship to you *

What is their contact number? *

What is the name on your bank account? *

Bank account number? *

Sort code *

Tax Declarations *
This is my first job since last 6 April and i have not been receiving taxable Jobseekers Allowance.This is now my only job but since 6 April i have had another job, or received taxable Jobseekers Allowance.As well as my new job, i have another job or receive State or Occupational Pension.

Do you have a Student Loan which is not fully repaid? *
Yes.No.

Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?
Yes.No.

What type of Student Loan do you have?
Plan 1 Student Loan - if you lived in Scotland or Northern Ireland when you started your course, or you lived in England and Wales and started your course before September 2012.Plan 2 Student Loan - if you lived in England and Wales and started your course on or after 1 September 2012.Plan 4 Student Loan - a Scotties or EU student who started an undergraduate or postgraduate course anywhere in the UK on or after 1 September 1998.Postgraduate loan.

Employment Status
This is my first job since 6 April and I've not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.This is now my only job but since 6 April I've had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.As well as my new job, I have another job or receive a State or Occupational Pension.

Are Photographs consistent across documents and with the person appearance? *
Yes.No.

Are dates of birth consistent across documents and within the persons appearance? *
Yes.No.

Are expiry dates for time-limited permission to be in the UK in the future (if applicable)? *
Yes.No.

If you have answered yes to all of the above then please upload a copy of the original document here.

National Insurance *

I confirm that the information I've given on this form is correct.*
Yes.

Signed *

Date *

I agree to any photos or videos taken of me at work/ social events or submitted by myself into any work chats to be uploaded and used for marketing purposes and I do not need to give any further permission of use.

Submit