Please complete and submit this form as soon as possible. Until we have processed your application and received your ID papers you cannot enjoy the benefits of being an Exchequer Solutions employee.
Complete the whole form if you can, but YOU MUST COMPLETE ALL AREAS OF THE FORM MARKED WITH * before we can accept your application. Supporting documents can be sent via email, MMS, fax or post.
1. Your Details
We prefer to send payslips via email – if you prefer to receive them via post
please tick here
Date of Birth: (dd/mm/yyyy)
--- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 --- 01 02 03 04 05 06 07 08 09 10 11 12 --- 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910
National Insurance Number: eg. AB123456C
When we contact you we may ask you to confirm your password as part of security checks – please do not let anyone else know your password.
3. Your Bank or Building Society Details
4. Your Job Title
Your present circumstances
Read all the following statements carefully and select the letter from below that applies to you.
--- A B C
A – This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance or 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 - I have another job or receive a state or occupational pension.
Student Loans (advanced in the UK)
5. Agency Details
6. Holiday Pay
Please select below how you would like your holiday pay to be received:
If you do not tick either box we will retain your Holiday Pay and pay it to you when you take holidays.
7. Agreement to Terms
I understand that Exchequer holds information about me for certain purposes, including (but not limited to), confirming entitlement to work in the UK, administering personnel and pay records and otherwise as reasonably required to operate its business. I understand that I can request access to this information (subject to applicable exemptions) by contacting Exchequer Solutions at the address below.
By signing this application form, I am consenting to the processing of personal data (and sensitive personal data) as described above. Further, I agree to such data being released to third parties (such as insurance providers) where necessary for the foregoing purposes.
By signing below, I consent to Exchequer Solutions providing references on my behalf to future employers or third parties.
I consent to the checking of my personal data and qualifications to work in specific areas, where these are required for the purpose of compliance with legislation.
I agree that all the information supplied on this form is correct and true to the best of my knowledge.
I agree to keep Exchequer Solutions informed in writing of any changes in my personal details, contact details and any changes in my personal circumstances which might affect my immigration status and eligibility to work in the UK and to supply any such information on request.
I agree to provide on request documents and information which will enable Exchequer Solutions to make any necessary statutory checks on my eligibility to work in the UK.
For further information please contact Exchequer Solutions on 01244 500195.
8. Equal Opportunity Monitoring
We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.
All employees are given equal opportunity and are encouraged to progress within the organisation.
We are committed to an ongoing programme of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:- (Please note – the information below is requested but is not mandatory).
1) Ethnic Category: The following categories are based on those recommended by the EHRC. Please note the ethnic questions are not about nationality, place of birth or citizenship. UK citizens can belong to any of the ethnic categories indicated.
Please tick the box below which best describes the ethnic category to which you belong:
4) Religion: Please state your religion:
9. Do you have a P45?:
Tick to confirm that the information above is correct
Please re-enter the code below: