Issue 01/10

NEW STARTER / PERSONAL DETAILS CHANGE

Employees are requested to complete only those sections that apply when informing of personal details changes. New Starters are requested to complete the form as fully as possible, disregarding any sections that do not apply.

PERSONAL DETAILS
Payroll Reference Number
(Not required for New Starter)
Title / Surname
Forename(s) / Marital Status
Known as / Gender / Date of Birth
Home Address
Post Code / Home Tel
Email / Mobile Tel
CAR DETAILS
Engine Size / cc / Registration No
BANK / BUILDING SOCIETY DETAILS
Name of Bank / Building Society
Branch
Sort Code
(6 digits) / Account No
(8 digits)
Account Name
Roll Number (Building Societies Only)
TAX AND NATIONAL INSURANCE DETAILS
(New Starters Only)
National Insurance Number
P45 is enclosed will follow unavailable (complete P46 details below)
P46 DETAILS
(To be completed by Employees without a P45 – Please tick the appropriate box that applies to you)
Note: If this is not completed, statutory rules will apply
This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance or taxable Incapacity Benefit or a State or Occupational Pension / A
This is now my job, but since last 6 April I have had another job, or have received taxable Jobseeker’s Allowance or Incapacity Benefit. I do not receive a State or Occupational Pension / B
I have another job ( With another Employer, other than Shropshire Council) or receive a State or Occupational Pension / C
STUDENT LOANS – If you left a course of Higher Education before last 6 April and received your first Student Loan instalment on or after 1 September 1998 and you have not fully repaid your Student Loan, enter ‘X’ in box D
(If you are required to repay your Student Loan through your bank or building society account DO NOT enter an ‘X’ in box D / D
TEACHER DETAILS
Teacher DFES Number
***PLEASE TURN OVER***
EMERGENCY CONTACT DETAILS
Title / Surname
Forename(s) / Relationship
Home Address
Post Code
Home Tel / Mobile Tel
PLEASE SIGN BELOW IN ALL INSTANCES
SIGNATURE / DATE