Change of Personal Details Form

Purpose:
1. Please complete this form to inform us when your personal details have changed.
2. Please only complete the information that have changed and will therefore need updating by us.
3. Please forward completed forms to the Payroll Department.

Sonia Wallen
EMPLOYEE’S NAME: …….….……………………………………….. CLOCK NUMBER: …….…….…..….

Change of Name (Please provide evidence of your change of name details (e.g. marriage certificate)

Sonia Wallen
Name: (currently known as) ………………………………………………………………………….…………. Title: ………………………………

New Name: …………………………………………………………………………….……………………..……..…. Title: ………………………………

Change of Address
Old Address: (briefly) ………….……………………………………………………………………………………………………………………………………..

New Address: ……………………………………………………………………………………………………………………………………………………………

New email Address: ………………………………………………………………………………………………………………………………………………….

Post Code: …..…………………………………………………………………….. New Telephone Number: ……………………….………………….

Change of Bank Details

Old Bank Name and Address: ………………………………………………………………………………………………………………..…………………

Nationwide Building Society Bank

New Bank Name and Address: ………………………………………………………………………………………………………………..……………….

…………………………………………………………………………………………………………………………………………………………………………………

070806
Bank Sort Code: ………………………………………………….. 16464012
Bank Account Number: …………………….……………………..……………….

Sonia Wallen
Bank Account Holder Name: …………………………………………………………………………………………………………………………………….

Change of Next of Kin Details (1) Change of Next of Kin Details (2)
New Name: ………………………………………………………………... New Name: …………………………………………………………………...

New Address: ……………………………………………………….….… New Address: ………………………………………………………….….…

………………………………………………………………………………..….. …………………………………………………………………………………..…..

Post Code: …………………. Relationship: ………………….….….. Post Code: ……………………. Relationship:.…………….…...…..

Home Tel No: ………………… Mobile No: …………..…………. Home Tel No: …………………… Mobile No: …………..………….

May 27, 2022

SIGNED: ……………………………………………………………………………………………………………… DATE: …..………………………….……....

May 27, 2022

Date that change is effective from:.………………………………….………………………………….………………....……………………….………

Issue Date: 01/11/21 Version Number: 2.0

The Belfield Group
Review Date: 01/11/24 Page Number: 1 of 1