Personal Details Form – New Employee

The new employee must complete this form to inform LCH of all the details required for payroll and to setup an individual employee personal file. All employee personal information will be held electronically and manually and processed in strict accordance with the provisions of the Data Protection Act (1998) for the total length of the employment and for the appropriate length of time thereafter, at which time the records will be securely destroyed.

The contact information provided will be shared with the appropriate Line Manager for the purposes of verification, monitoring and to ensure correct payment.

Please where possible complete the form electronically, however if completing this form by hand please complete in CAPITALS and only use BLACK INK.

Should you have any problems completing this form please contact the Recruitment Team on: 0151 295 3023,

*Mandatory Fields (please complete all mandatory fields)

New Employee Personal Details
Job Reference Number*
Title*
Surname*
Forename(s)*
Middle Name(s)
Known As
National Insurance Number* / Date of Birth*
Contact Details
Address Line 1*
Address Line 2
Address Line 3
Town*
County*
Postcode*
Telephone (home)* / Telephone (mobile)
Bank Details
Name of Account Holder*
Bank / Building Society Name*
Account Number*
Sort Code*
Account Reference / Roll Number
Emergency Contact Details
Title*
Surname*
Forename(s)*
Relationship to you
e.g. Spouse, Mother, Son
Same home address? / Yes / / No /
If ‘No’ please complete address details below
Address Line 1*
Address Line 2
Address Line 3
Town*
County*
Postcode*
Telephone (home)* / Telephone (mobile)
Next of Kin Details (if different from emergency contact details)
Title
Surname
Forename(s)
Relationship to you
e.g. Spouse, Mother, Son
Same home address? / Yes / / No /
If ‘No’ please complete address details below
Address Line 1
Address Line 2
Address Line 3
Town
County
Postcode
Telephone (home) / Telephone (mobile)
Equal Opportunities
Gender* / Male / / Female /
Marital Status / Civil Partnership /
Divorced / Dissolved Civil Partnership /
Married /
Separated /
Single /
Widowed / Surviving Civil Partner /
Do you consider yourself to be a disabled person? / Yes / / No /
If ‘yes’ please give further details:
Religious Belief* / Atheism /
Buddhism /
Christianity /
Hinduism /
Islam /
Jainism /
Judaism /
Sikhism /
Other /
I do not wish to disclose /
Sexual Orientation* / Bisexual /
Gay /
Heterosexual /
Lesbian /
I do not wish to disclose /
Ethnic Origin* / Asian or Asian British:
Bangladeshi /
Indian /
Pakistani /
Any other Asian background /
Black or Black British:
African /
Caribbean /
Any other black background /
Mixed:
White and Black /
Caribbean /
White and Black African /
White and Asian /
Any other mixed background /
White:
British /
Irish /
Any other white background /
Other ethnic groups:
Chinese /
Any other background /
Not stated:
I do not wish disclose /
Nationality
Country of Birth
Date(form completed)

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