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BANK / TAX STATUS DETAILS FORM new employee It is a requirement of the University for your salary to be paid into a UK bank or building society account. You will not receive payment until this information has been received by the Payroll Office. PLEASE COMPLETE IN BLOCK CAPITALS Title Surname First Name s Date of Birth National Insurance Number Payroll Number Job Title Department Home Address UK BANK OR BUILDING SOCIETY DETAILS Bank name and Branch Account Name s Sort Code Account Number Roll Number if applicable I authorise the University of Portsmouth to transfer my salary payments including any claimed expenses to my nominated bank or building society account as above. SIGNED Date PLEASE ENSURE YOU COMPLETE PAGE 2 OF THIS FORM 1 University of Portsmouth TAX STATUS YOU MUST COMPLETE THE TAX STATUS SECTION IF YOU HAVE NOT PROVIDED A P45 This will ensure the right tax code is used and you pay the right amount of tax. Read below all the following statements carefully and clearly tick which box that applies to you. You must only select one statement. 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* 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 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 LOANS Do you have a Student Loan to repay Yes No You should tick No if the following statements apply 1. You finished your Studies after the last 6th April or 2. You are repaying your loan direct to the Student Loan Company You only need to complete the below table if you have ticked Yes to the above question Please tick which student loan plan type applies to you. If you are not sure which plan type to select you can either contact the Student Loan Company or click on the below link and follow the questions provided under Find Out Your Repayment Plan Type www. slc*co. uk/students/loan-repayment. aspx Plan 1 You lived in Scotland or Northern Ireland when you started your course or You lived in England or Wales and started your course before 1st September 2012 Yes Plan 2 I confirm the statements as indicated above are a true and accurate account of my current status. PRINT NAME Return to Payroll Office Room 2. 06 University of Portsmouth University House Winston Churchill Avenue Portsmouth PO1 2UP. You will not receive payment until this information has been received by the Payroll Office. PLEASE COMPLETE IN BLOCK CAPITALS Title Surname First Name s Date of Birth National Insurance Number Payroll Number Job Title Department Home Address UK BANK OR BUILDING SOCIETY DETAILS Bank name and Branch Account Name s Sort Code Account Number Roll Number if applicable I authorise the University of Portsmouth to transfer my salary payments including any claimed expenses to my nominated bank or building society account as above. SIGNED Date PLEASE ENSURE YOU COMPLETE PAGE 2 OF THIS FORM 1 University of Portsmouth TAX STATUS YOU MUST COMPLETE THE TAX STATUS SECTION IF YOU HAVE NOT PROVIDED A P45 This will ensure the right tax code is used and you pay the right amount of tax.

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