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New Starter Details
Full Registered Name
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Phone
(Required)
Email
(Required)
Address
(Required)
Address Line 1
Address Line 2
City/Town
County
Postcode
National Insurance Number
(Required)
Sort Code
(Required)
Account Number
(Required)
Account Holders Name
(Required)
Employee Statement: (A, B or C)
(Required)
A - This is my first job since 6th April and since the 6th April I have not received payments from Job Seekers Allowance, Employment and Support Allowance or Incapacity Benefit.
B - Since 6th April I have had another job but I do not have a P45. And/or since the 6th April I have received payments from Job Seekers Allowance, Employment and Support Allowance or Incapacity Benefit.
C - I have another job currently and/or I am in receipt of a State, Works or Private Pension.
Student Loans - Do any of the following statements apply to you:
(Required)
I have a Student or Post Graduate Loan
I am still studying full time on a course that my Student Loan relates to
I have completed or left my full time course after 6th April (current tax year)
I am already making regular direct debit repayments from my bank as agreed with the Student Loans Company
Yes
No
If you answered yes above, Are you:
Plan 1 (you started your course prior to 1st September 2012)
Plan 2 (you started your course after 1st September 2012)
Post Graduate Loan
Signature
(Required)
Date Signed
(Required)
DD slash MM slash YYYY