Title Page
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EMPLOYEE DETAILS.
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Title
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Full name ( include any middle names)
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Home address (include postcode)
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Contact telephone numbers (11 digits - add spaces ie: 07265 532 785)
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Email Address (for pay slips)
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Are you happy for payslip to be emailed to you?
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Add Mobile number you want your pay slip to be sent to:
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Date of Birth:
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National insurance number
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Site:
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Contract term:
- 52 week
- Equalised - add specific details in notes
- Relief - add details
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Pay Rate £
Section 2 - BANK DETAILS
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When adding account details please add spaces in Sort Code and Acc Number, Roll number (building society only)
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Bank/Building Society name
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Sort Code - (Format 34 56 78)
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Account number - (Format 23 42 34 45)
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Name on account
Untitled Page
Section 3 - HMRC Starter Checklist / P46
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Employee statement - you need to select only ONE of the following statements (A, B or C)
- Statement A - This is my first job since last 6 April and I HAVE NOT been receiving taxable Jobseeker's Allowance, Employment & Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
- Statement B - This is now my only job but since last 6 April I HAVE had another job, or have received taxable Jobseeker's Allowance, Employment & Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension
- Statement C - As well as my new job, I have another job or receive a state or occupational pension
STUDENT LOAN - you only need to complete this section if you have / had a student loan
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1. Do you have a Student Loan which is not fully repaid?
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2. Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?
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3. What type of Student Loan do you have?<br><br>You will have a PLAN 1 Student Loan if:<br>- You lived in Scotland or Northern Ireland when you started your course, or<br>- You lived in England or Wales and started your course before September 2012<br><br>You will have a PLAN 2 Student Loan if:<br>- You lived in England or Wales and started your course on or after the 1st September 2012<br>
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4. Did you finish your studies before the last 6 April?
Section 4 - PLACE OF BIRTH
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Birth place (Town/City/Country)
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Nationality
Section 5 - EQUAL OPPORTUNITY MONITORING.
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We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favorable treatment on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.
All employees are given equal opportunity and are encourages to progress within the organisation
We are committed to an ongoing program of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information: - -
Do you wish to provide the relevant information required, please note this is not compulsory.
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I would describe my ethnic group as: -
- White
- Mixed
- Asian
- Black
- Chinese
- Other - Please state.
Section 6 - EMERGENCY CONTACT DETAILS
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Full name
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Relationship to you
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Contact Tel number (Add spaces ie: 07568 025 2656)
Section 7 - HEALTH DETAILS
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Do you have any physical or mental conditions which might limit your ability to perform the job for which you are employed?
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Please provide details
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How many periods of sickness have you sustained during the past year? If more than 2 weeks, please state reason and duration.
Section 8 - CRIMINAL RECORD:
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Have you any of the following:
- Pending Criminal Proceedings
- Previous Criminal Convictions
- Unspent Criminal Convictions
- NO
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Please add relevant information
Section 9 - ADDRESS HISTORY
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When did you move into your current address?
If less than 5 years please list your full 5 year history (including postcode)
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Address including postcode
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Date From and To:
Section 10 - PREVIOUS NAMES:
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Have you ever used any other first names?
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If you have been known by another first name, what was it?
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When did your name change?
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Have you ever used another surname i.e. maiden name?
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If you have been known by another surname, what was it?
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When did your name change?
Section 11 - DBS Information
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Does this position require a valid and current Enhanced DBS?
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Do you have a current/valid DBS
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Certificate number
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Date of Issue
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Is this enhanced? (working with children)
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Please provide your mothers maiden name for the DBS application.
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Bulloughs will apply for a DBS on your behalf. No cost required from the employee.
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Mothers maiden name (required for future DBS applications)
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Do BCS need to apply for an enhanced DBS?
Section 12 - REFERENCES. Please complete if happy for Bulloughs to obtain references.
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Are you happy for Bullough Cleaning Services to obtain references?
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Name
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Relationship to you (Personal or Business)
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Contact number or Email
UNIFORM-
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Is uniform required? <br>Please add items and sizes in "NOTES"
STARTER PACK CHECKLIST. Please add evidence before sending to HO. Wages cannot be paid until ALL of the following are received.
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All starter pack sections completed and signed
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Photograph of employee for ID card (unless taken on Ucomply platform)
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Proof of identity (Passport, Birth Certificate, Driving Licence)
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Proof of Address (Utility bill, rental agreement)
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Proof of National Insurance: (Nat ins Card, P45/P60)
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Employee Handbook and Employee Safety Handbook Issued
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Contract of Employment explained, completed and signed. (original issued to employee)
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ADD ALL PROOF OF ADDRESS, DBS, ID, SIGNED CONTRACT AND PHOTO OF CANDIDATE HERE:
ONCE THE ABOVE CHECK LIST HAS BEEN CONFIRMED PLEASE COMPLETE TRAINING RECORD ON IAUDITOR. TO BE SENT WITH THE STARTER PACK.
DECLARATION: I confirm that the information i have provided is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
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Name and signature of employee.
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Name of witness and Signature