Personal Details Form

FERRY HOUSE INN - New Starter PERSONAL DETAILS Form

* Indicates required field

Title *

Mr Miss Mrs

Name *

First

Last

Phone Number *

Gender? *

Male Female

Full address including postcode *

Date of birth *

Employee Statement

Choose One Statement... Select one of the following statements: A - This is my first job since last 6 April, and I have not been receiving taxable Jobseekers Allowance, 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 Jobseekers Allowance, Employment and Support Allowance, 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 State or occupational pension. *

Option A Option B Option C

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 1 September 1998

Student Loans *

No Yes

Pay Details

National Insurance Number *

Account Name *

Account Number *

Sort Code *

Branch *

Employment start date (date of your 1st full shift not date of trail shift please) *

Employment Type *

Temp Zero Hours Permanent with Contracted hours