Employee Details

@csrf

{{--

Personal Details

Title

NI Number

Surname

First Name

Middle Name(s)

Address Line 1

Address Line 2

Address Line 3

Postcode

Date of Birth

Job Details

Employee Ref

Department

Cost Centre

Start Date

Salary (£)

Hourly Rate (£)

Overtime Rate (£)

Hours Per Week

Working Pattern

@foreach(['Mon','Tue','Wed','Thu','Fri','Sat','Sun'] as $day)

working_days ?? []) ? 'checked' : '' }} > {{ $day }}

@endforeach

Bank Details

Bank Name

Account Number

Sort Code

Your Current Circumstances

circumstance ?? '') == 1 ? 'checked' : '' }}> A - This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s allowance, employment and support allowance or taxable incapacity benefit or a state pension or occupational pension.

circumstance ?? '') == 2 ? 'checked' : '' }}> B - This is now my only job, but since last 6 April I have had another job, or have received taxable jobseeker’s allowance or taxable incapacity benefit. I do not receive a state or occupational pension.

circumstance ?? '') == 3 ? 'checked' : '' }}> C - I have another job or receive a state or occupational pension.If you left a course of UK Higher Education before last 6 April and received your first UK student loan instalment on or after 1 September 1998 and you have not fully repaid your student loan, enter ‘X’ in the box.

circumstance ?? '') == 4 ? 'checked' : '' }}> D - (Do not enter ‘X’ in the box D if you are repaying your UK student loan by agreement with the UK student loans company to make monthly payments through your bank or building society account).

Signature & Declaration

I confirm that the information provided above is correct.

Date

@if($empDetails?->signature64) Candidate Signature Clear @endif

{{-- Existing Signature --}} @if($empDetails?->signature64)

@else {{-- EMPTY SIGNATURE PAD --}} {{--

--}} @endif