Employee Information Form for Payroll (EIF-1)

Basic Details

Company Name *

Name *

First

Last

Date of Birth *

Employment Start Date

Gender *

Marital Status *

Number of Dependents *

Identification and Tax details

ID Number

Passport Number

File Upload (ID or Passport and work permit)

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Country of Issue (Passport)

Tax Number

Residential and Postal address

Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Postal Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Details

Landline Number

Cell Phone Number *

Email address – Private *

Email

Confirm Email

Email address – Business *

Email

Confirm Email

Emergency Contact Details

Name *

First

Last

Relationship *

Phone *

Bank Details

Bank Account Holders Name

Banking Provider

Bank Account Number

Bank Account Type

Bank Details (Please upload your proof of bank account)

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Terms and Conditions *

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately.
I hereby give consent to transmit my personal data electronically to its intended location.

Nel van Ass and Associates (PTY) Ltd