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Starter Checklist
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Employee's personal details
Name
*
First
Last
Are you male or female?
*
Please Select
Male
Female
Date of Birth
*
Address
*
Address Line 1
City
State / Province / Region
Postal Code
National Insurance Number
*
Employment Start Date
*
Employee statement
You need to select only one of the following statements A, B, or C
*
A) This is my first job since last 6th April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, Taxable Incapacity Benefit, State or Occupational Pension.
B) This is now my only job but since last 6th April I have had another job or receiving taxable Jobseeker's Allowance, Employment and Support Allowance, Taxable Incapacity Benefit, State or Occupational Pension.
C) As well as my new job, I have another job or receive a State or Occupational Pension.
Student Loans
Do you have a Student Loan which is not fully repaid?
*
Please Select
Yes
No
Are you repaying your Student Loan direct to the Student Loan Company by agreed monthly payments?
Please Select
Yes
No
Student Loan Plans
You will have a Plan 1 Student Loan if: *You live in Scotland or Northern Ireland when you started your course, or *You lived in England or Wales and started your course before September 2012. You will have a Plan 2 Student Loan if you lived in England or Wales and started your course on or after 1st September 2012.
What type of Student Loan do you have?
Please Select
Plan 1
Plan 2
Did you finish your studies before the last 6th April?
Please Select
Yes
No
Wages Payment
Name of Bank
*
Your name as it appears on the account
*
Sort Code
*
Account Number
*
Email address you want your payslips sent to
*
Declaration
Full Name
Date
I certify that the information set out above to my knowledge is correct.
*
I agree
Your Signature
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