Please Complete All Sections, Sign and Return It to the Payroll & Pensions Office at Or

Employee Bank Details and Starter Declaration Please complete all sections, sign and return it to the Payroll & Pensions Office at [email protected] or to the address provided below.* A Personal Details Title: Forename: Surname: N.I. Number: Date of Birth: Address

B Bank/Building Society Details Please provide details of the bank account you wish your salary to be paid into. Bank Name: Account Holders Name: Sort Code: Account Number: Bank Address C Starter Declaration You must tick one of the options A, B or C. Failing to do so could result in incorrect tax deductions. A. This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit or a state or occupational pension. OR 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 and Support Allowance or taxable Incapacity Benefit. I do not have a state or occupational pension. OR C. I have another job or receive a state or occupational pension. D Student Loan Do you have a Student Loan which is not fully repaid? Yes No Are you repaying your loan direct to the Student Loan Company Yes No by agreed monthly payments Student Loan plans You will have a plan 1 Student Loan if: a) You lived in Scotland or Northern Ireland when you started your course, or b) You lived in England or Wales and started your course before 1st 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? Plan 1 Plan 2

Did you finish your studies before the last 6 April Yes No

E Signature Name Signature Date

Post Person Code/Latest Staff Number Vacancy Ref Chargeability Code

* Payroll & Pensions Office is located in Room MC104a, Ground floor, McCance Building, 16 Richmond Street, Glasgow G1 1XQ. Opening hours: Monday – Friday, 10:00 – 16:00