Document Section One To be completed by the employee Your employer will need this information if you don’t have a form P45 from your previous employer. Your employer may ask you to complete this form or provide the same information in another format. If you later receive your P45, hand it to your present employer. Use capital letters when completing this form. Your details National Insurance number This is very important in getting your tax and benefits right Title – enter MR, MRS, MISS, MS or other title First name(s) Surname Gender MaleFemale Date of birth DD-MM-YYYY Address House or flat number Rest of address including house name or flat name Postcode Your present circumstances Read all the following statements carefully and in the one box that applies to you. 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) If you left a course of UK Higher Education before last 6 April and received your first UK Student Loan instalment on or after 1 September 1998 and you have not fully repaid your Student Loan, enter 'X' in box D. (Do not enter ‘X’ in box D if you are repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank or building society account.) Signature and date Signature I confirm that this information is correct Date DD MM YYYY For employees who complete Box A or Box B starter notification is not needed until their earnings reach the NICs lower earnings limit