Wandsworth Children’s Services Department (Form: CSA512)

Original to: Payroll, Computer Suite B Payroll to Allocate

Copy to: Children’s Services Personnel Employee Number

Copy to: To be retained by the School

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Notice of Appointment – New Employees Only

  1. Personal details

Family Name ……………………………………………………………….Mr/Miss/Ms/Mrs/Other* …………………..

Forename ...... Pay place / School Name......

Address ......

Phone number ...... Section / Place of work ......

Date of birth ...... Commencement/change date ......

Previous employer, post & place of work ......

Continuous service date ...... NI No.

Teaching Agency Registration Number...... ………………………………. (Must be completed for all Teachers)

Ethnic Origin Code...... …………………………………….. Disability Code ………………………………………. see over for details

2. Post details

Job Title …………………………………….. (If Temporary, please give end date of contract ) …………………………..

Please confirm Contract type: Please confirm Terms & Conditions to apply: *Apprentice please choose pre 2010

or 2010+ for calculations

Permanent / Supply / Teacher / Support Staff pre 2010 / TUPE
Temporary / Casual/VT / Leadership / Support Staff 2010+ / Apprentice*

3. Salary details

Grade ……………………………………………………………….Spinal column point ………………………………

Actual hours per week ...... hrs ...... minsIncrement Date: ……………………………..

Notional hours per week shown as a decimal …………………….. Term time only non-teaching staff – attach calculation sheet

Salary & Allowances: Allocation Code, please complete:

Teacher / 0002
Admin / 0005
TA/LSA / 0003
Meals / 0006
Premises / 0004
Other
Basic Pay / £ / Per Annum / Hour
TLR / £
SEN / £
First Aid / £ / End Date………………..
R&R / £ / End Date…………………
Other / £ / Please State…………….

Working Pattern

MON / TUES / WEDS / THUR / FRI / SAT / SUN
Hours / Minutes

Documentation required by Payroll

Bank detailsattached / to follow*Copy of Marriage Certificateattached / to follow / N.A.*

Tax form P45 / P46attached / to follow*N.I. Certificate of Age Exemption attached / to follow / N.A.*

Copy of Birth certificateattached / to follow*

*please delete as appropriate

Authorised Signatory:………………………………………….. Print Name:…………………………….. Date ......

Headteacher / Business Manager

Ethnic Origin Codes:

Ethnic classifications / White - British
White - Irish
White – Any other White background
Mixed – White and Black Caribbean
Mixed –White and Black African
Mixed –White and Asian
Mixed – Any other mixed background
Asian – Indian
Asian – Pakistani
Asian – Bangladeshi
Asian - Chinese
Asian - Any other Asian background
Black – African
Black – Caribbean
Black – Any other Black background
Other – Arab
Other – Any other ethnic group
Not known

Disability Codes

Disability type / Disabled – Hearing
Disabled – Speech
Disabled – Visual
Disabled – Co-ordination/Dexterity or Mobility
Disabled – Mental Illness
Disabled - Other
Disabled – Learning Difficulties
Disabled – Severe Disfigurement
Disabled – Multiple Disabilities
Not disabled
Not known