Employee Information Form

    Name

    Date of Birth

    National Insurance Number:
    Sex
    Job Title
    Marital Status
    Full Time/Part Time?

    Please provide your addresses for the last five years with dates of moving in/out

    Current address

    From

    To

    Previous address 1

    From

    To

    Previous address 2

    From

    To

    Previous address 3

    From

    To

    Telephone
    Mobile
    Email

    Emergency Contact

    Name

    Relationship

    Address

    Telephone Number

    Agreed Rates of Pay

    Hourly Rate:

    OR

    Weekly Rate:

    Bank Details

    Bank Name

    Address

    Sort Code

    Account Number:

    If you have a Limited Company please provide details below:

    Company Name

    Company Registered Number

    Company Address

    Company Postcode