AM Consultancy

If a payment is made incorrectly or in excess, the overpaid amount must be returned within 24 hours of receiving written notification. Failure to do so may result in further action to recover the funds.

Personal Information

Title*

First Name*

Surname*

Address*

Postcode

Date of Birth*

NI Number*

Contact Number*

Email*

Nationality*

ID Required – Please provide a copy of the following.
Only jpg, jpeg, png, gif or word document is allowed to upload

Copy of Passport

Right to Work Permit

Proof of Address

Next of Kin

Name*

Contact Number*

Address*

Relationship

Personal Bank Detail

Bank Name*

Account Title*

Account Sort Code*

Account Bumber*

Agency Details

Name of Agency*

Contact Name*

Branch*

Contact Number*

Employee Statement

If you are not able to enclose a P45 form please select only one of the following statements

This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.

This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.

As well as my new job, I have another job or receive a State or Occupational Pension.

Student Loan

Do you have a Student Loan which is not fully repaid?

Yes

Student Loan Plans

You will have a Plan 1 Student Loan if:

- You lived in Scotland or Northern Ireland when you started your course, or
- You lived in England or Wales and started your course before September 2012

You will have a Plan 2 Student Loan if you lived in England or Wales and started your course on or after 1 September 2012.

What type of Student Loan do you have?

Plan 1

Plan 2

Did you finish your studies before the last 6 April?

Yes

For further guidance about repaying Student Loans go to www.gov.uk/newemployee/student-loans

The above mentioned parties do hereby agree as follows:

This agreement shall become effective on the above stated effective date and it shall continue in effect, unless it is terminated due to provisions stated in this hereby Agreement.

Under the terms and conditions stated in this Agreement, the Contractor hereby authorizes Payment & Pension Services (A Mirza Consultancy) to collect payments on his/her behalf

Application Form