Bank & NOK DetailsLydian CareHealthcare Bank & NOK DetailsFor candidates to submit their Payroll & NOK details online.ConfidentialDate Form Completed:(Required) DD slash MM slash YYYY Title(Required)MissMsMrsMrName(Required) First Last Gender(Required)MaleFemaleOtherPlease select your gender.Tunic Size:(Required)please enter your tunic size for your uniform to be arranged. Sizes are from XS - XXXL.Address(Required) Street Address Address Line 2 City County Post Code Your Date of Birth:(Required) DD slash MM slash YYYY NI Number:(Required)Mobile Phone Number:(Required)Email Address:(Required) To be used for payslips.Bank account details account all monies should be paid to. (Account should be in members own name or a joint account for payments by BACS)Name of Bank:(Required)The name of the bank your account is with.Account in the name of:(Required)Sort Code:(Required)6 digitsAccount Number:(Required)Statement(Required) A - 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. B - 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. C - As well as my new job, I have another job or receive a State or Occupational Pension.You need to select only one of the statements.Copy of P45:Max. file size: 496 MB.If you have your most recent P45 please attach hereNext of Kin or Emergency Contact DetailsNOK Name(Required) First Last Relationship to you:(Required)Address(Required) Street Address Address Line 2 City County Post Code Landline PhoneMobile Number:(Required)IMPORTANT NOTE your NOK/emergency contact will be contacted if we cannot get in touch with you or should an emergency during work occur.Signature(Required)Please either draw your signature in the box above or use your finger or stylus if on a touchscreen device.
