STARTER’S DECLARATION

THIS FORM MUST BE COMPLETED BY ALL NEW STARTERS (please use block capitals)

Employee’s Name: Mr Samuel Slade……………………………………………………...

(Mr/Mrs/Miss/Ms/Dr)

Job Title: EMS Careers ambassador

…………………………………………………………………………………

Home Address (including post code) to which all payment details will be posted to: 4
Greenway,
Seaton,
Devon,
EX12 2SE
………….

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

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

NI Number: PG 44 70 39 D ……………………………………...Date of
Birth.30.07.2000.…………………………

Have you any other paid employment? NO

Are you in receipt of a pension? NO

Start Date: 1st September…………………………………………...

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Salary will be paid into your chosen Bank Account. Please enter details below:

Name of Bank: Natwest

……………………………………………………………………………….
Branch: Honiton (E) Branch ………………………………………………….
……………………………

Address: 94 High Street,

Honiton,
Devon,
EX14 1JL …..…………………………………………………………………………..

Sort Code: 54-41-66 …………………….…………………..….

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A/C No: 54552958
…………………………………………………………………………………

Declaration – I certify that the particulars shown are correct:

Signature of Employee: S Slade …………………………………… Date: 29th

October………………………………