New starter details

Company Name *

New Employee Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *

Email *

National Insurance Number *

Multiple Choice *

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, State of Occupational Pension.
B - This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or 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 a State or Occupational Pension.

Employment start date *

Full Time/Part Time *

Number of hours worked per month

Are you a Companies House director *

Annual Salary *

e.g. 20000 is £20,000 or set to directors minimum

Do you have a Student Loan which is not fully repaid? *

Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?

What type of Student Loan do you have?

Plan 1 - If you started your course before September 2012 and you lived in the UK
Plan 2 - If you started your course on or after September 2012 and you lived in England and Wales

Did you finish your studies before the last 6 April?

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Declaration *

I confirm that the above information is correct and give my permission for the personal data contained above to be used to process my payroll. I understand that this form will generate an email to Primotax and that emails may not be secure.

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