PERSONAL DETAILS FORM

To be completed by HR: / Payroll Number:
SECTION 1: EMPLOYEE DETAILS
Surname: / School or Service: select Academic ServicesExecutiveFacilitiesHuman ResourcesMarketing and CommunicationsPlanning and FinanceSchool of Arts, Design, Media & CultureSchool of Business Law and PsychologySchool of Computing and TechnologySchool of Education and Lifelong LearningSchool of Health, Natural and Social SciencesStudent and Learning SupportStudent Recruitment and Business Partnership
Forename(s): / Date of Birth: / National Insurance No:
Known As: / Marital Status / Single
Title (Mr / Mrs etc): select DrMissMrMrsMsProfRev / Married / Divorced / Widowed
Address in full: / Separated / Cohabiting / Civil Partnership
Contact Telephone Number:
Mobile Number:
Post Code: / Email Address:
SECTION 2: EMERGENCY CONTACT DETAILS
JOB DETAILS
Full Name: / Relationship :
Address: / Telephone Number (Day):
Telephone Number (Evening) :
Mobile Number:

Post Code:

SECTION 3: POST DETAILS

Location:
Job Title: / Start Date:

SECTION 4: BANK DETAILS – Please ensure that you have a completed and SIGNED form of the bank details

Account Holders Name: / Bank Account Building Society Account
Name of Bank / Building Society: / Branch:
Sort Code: - - / Account Number: / Building Society Ref No:
Due to the Data Protection Act, the University must receive bank details that are completed by the individual. Please note it is the responsibility of the authorising person to ensure that bank details supplied are correct.
SECTION 5: PENSION
Under pension regulations teaching staff will automatically be included in the Teachers’ Pension (TP) Scheme and non-teaching staff in the Local Government Pension Scheme (LGPS), unless you choose to opt-out. Further details are provided in the enclosed information sheets, which are also available from www.sunderland.ac.uk/hr
I wish to join the Pension Scheme: Y N / TPS LGPS USS Opt-Out
SECTION 6 : AUTHORISATION
Authorised by (Please print full name):
Signature: / Date:
Completed forms should be returned as follows: Send as an e-mail attachment to your HR Assistant and retain a copy for your records. If you are unable to access e-mail please print and send to: HR, 3rd Floor, Edinburgh Building, City Campus, Chester Road, Sunderland, SR1 3SD. For help or advice please call: 0191 515 2263 or email your HR Advisor.
HR Use only
Date Received by HR / HR Verification / Chris21 input