Warehouse – PAYE Application Pack Form

Warehouse - PAYE Application Pack

Your Details
- Full name*
  First
- Email*
- Mobile*
- Telephone*
- Nationality*
- National Insurance No.*
Date of birth*

Day
Month
Year
Marital status*
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Work History
Please provide up to 5 years of work history in the table below. Please click the '+' button to add a new line. If you do not have 5 years please provide as much as you can.
*
Company Name Dates Worked Job Title Duties Pay Rate Reason for Leaving
References
Please provide contact details for at least two referees. If you do not have a phone number or email address for a referee, enter 'X' in the corresponding box.
Referee Details*
Name Company Job Title Contact Number Contact Email
- Next of Kin 1
- Name*
- Relationship*
- Address*
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Telephone*
- Mobile*
- Next of Kin 2
- Name*
- Relationship*
- Address*
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Telephone*
- Mobile*
Select one of the following statements*
- A. This is my first job since 6 April and I've not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
- B. This is now my only job but since 6 April I've 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.
- Student Loan
- 1. Do you have one of the Student Loan Plans described below which is not fully repaid*
  If yes go to question 2, if no go to question 5
- 2. Did you complete or leave your studies before 6th April?
  If yes go to question 3, if no go to question 5
- 3. Are you repaying your Student Loan directly to the Student Loans Company by direct debit
  If yes go to question 5, if no go to question 4
- 4. What type of Student Loan do you have?
- STUDENT LOAN PLANS
  You'll have a Plan 1 Student Loan if:
  - you lived in Scotland or Nothern Ireland when you started your course (undergraduate or postgraduate)
  - you lived in England or Wales and started your undergraduate course before 1 September 2010
  You'll have a Plan 2 Student Loan if:
  - you lived in England or Wales and started your undergraduate course on or after 1 September 2012
  - your loan is a Part Time Maintenance loan
  - your loan is a Advanced Leaner loan
  - your loan is a Postgraduate Healthcare loan
- Postgraduate Loan
- For more guidance about funding and repaying go to www.gov.uk/funding-for-postgraduate-study For more guidance for employers go to www.gov.uk/guidance/special-rules-for-student-loans
- 5. Do you have a Postgraduate Loan which is not fully repaid?*
  If yes go to question 6, if no go to question 8
- You'll have a Postgraduate Loan if:
  - you lived in England and started your Postgraduate Master's course on or after 1 August 2016
  - you lived in Wales and started your Postgraduate Master's course on or after 1 August 2017
  - you lived in England or Wales and started your Postgraduate Doctoral course on or after 1 August 2018
- 6. Did you complete or leave your Postgraduate studies before 6th April
  If yes go to question 7, if no go to question 8
- 7. Are you repaying your Postgraduate loan direct to the Student Loans Company by direct debit?
8. Have you any unspent convictions? In accordance with the rehabilitation of Offenders Act 1974*
- Yes
- no
If yes, please give details of offences, penalties and dates
Employment date start

Day
Month
Year
Igloo site of work (if known)
Bank Details
- Banks or Building Society name
- Bank or Building Society address
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Sort Code*
- Account number*
- Building Society reference
- Account holders name*
Please upload a copy of your Passport, Birth Certificate or National ID Card:*
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, Max. file size: 100 MB, Max. files: 2.
If you are not a British Citizen, please provide your right to work share code below:
Please upload a copy of your proof of National Insurance Number:*
Drop files here or

Accepted file types: jpg, jpeg, doc, gif, png, pdf, Max. file size: 100 MB, Max. files: 2.
Please upload a copy of your proof of Address:*
Drop files here or

Accepted file types: jpg, jpeg, doc, gif, png, pdf, Max. file size: 100 MB, Max. files: 2.
Please upload copies of any relevant FLT or MHE licences:
Drop files here or

Accepted file types: jpg, jpeg, doc, gif, png, pdf, Max. file size: 100 MB, Max. files: 6.
TO CONTINUE PLEASE CLICK SUBMIT AND READ THROUGH THE DOCUMENT THEN SIGN AT THE BOTTOM.
CLICK AGREE AND SIGN THIS WILL SEND THE DOCUMENT BACK TO IGLOO
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