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* Indicates required question
Employer Name/Company Name
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Title
*
Mr
Mrs
Miss
Ms
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Surname
*
Your answer
First and Middle Names
*
Your answer
Preferred Name
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Gender
*
Female
Male
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Your Home Address
*
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Post Code
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Telephone/Mobile
*
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Your Email Address
*
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National Insurance Number
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Unique tax Ref (UTR)
*
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Company Reg No.
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VAT Reg Number
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Business Type
*
Sole Trader
Company
Trust
Partnership
Company Name/Trading Name
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Pay frequency
Weekly
Every 2 weeks
Every 4 weeks
Monthly
Other:
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Pay Method
Bank
Cheque
Cash
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Bank Name
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Sort code
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Account name
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Account number
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Payment ref (If supplied by the bank)
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