Starter Checklist - Employee'S Personal Details

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Starter Checklist
Employee's personal details
Last name or family name
First name(s)
Are you male or female?
Male
Female
Date of birth
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£
£
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Home address
Address line 1
Address line 2
Address line 3
Address line 4
Postcode
(if your address is in the UK)
National Insurance number
Employment start date
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£
£
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Payroll ID or works number
(if you have one)
Employee statement
A - This is my first job since last 6 April and I have
You need to select only one of the
not been receiving taxable Jobseeker's Allowance,
following statements A, B or C.
Employment and Support Allowance, taxable
Incapacity Benefit, State or Occupational Pension.
B - This is now my only job but since last 6 April I
have 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.
C - As well as my new job, I have another job or
receive a State or Occupational Pension.
Do you have a Student Loan which is not fully repaid and all of the following apply:
• You left a course of UK higher education before last 6 April.
• You received your first Student Loan instalment on or after
No
Yes
1 September 1998.
Starter checklist 23102012 v1.1

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