Title Page
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Conducted on
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Prepared by
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Name of staff member
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New Address
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Full new address including postcode
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New contact details
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New job title
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New Hourly Rate
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Change to contracted hours
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New hours per week
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New Bank Details
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New Bank Name
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Account no
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Sort Code
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New Emergency Contact Details
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Emergency Contact Name
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Relationship to employee
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Emergency contact phone number
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Emergency contact work address
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When is the change effective from
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Authorising Manager
