Admiral Recruitment Registration Survey

1.Position applied for? (Required.)

2.Surname(Required.)

3.First Name(Required.)

4.Your Email Address(Required.)

5.Your Mobile Phone Number(Required.)

6.Date of birth(Required.)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

7.Home Address(Required.)

Flat Name/Number

Street Number/Name

City

Post Code

8.National Insurance Number(Required.)

9.Employment Start Date

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

10.You need to select only one of the following statements A, B or C.(Required.)

A) Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the
following applies.
This is my first job since 6 April and since the 6 April I’ve not received payments from any of the following:
• Jobseeker’s Allowance
• Employment and Support Allowance
• Incapacity Benefit

B) Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies.
Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following:
• Jobseeker’s Allowance
• Employment and Support Allowance
• Incapacity Benefit

C) Choose this statement if:
• you have another job and/or
• you’re in receipt of a State, Works or Private Pension

Student Loan
You have Plan 1 if any of the following apply:
• you lived in Northern Ireland when you started your course
• you lived in England or Wales and started your course before 1 September 2012
You have a Plan 2 if:
You lived in England or Wales and started your course on or after 1 September 2012
You have a Plan 4 if:
You lived in Scotland and applied through the Students Award Agency Scotland (SAAS) when you started your course
You have a Postgraduate Loan if any of the following apply:
• you lived in England and started your Postgraduate Master’s course on or after 1 August 2016
• you lived in Wales and started your Postgraduate Master’s course on or after 1 August 2017
• you lived in England or Wales and started your Postgraduate Doctoral course on or after 1 August 2018

11.Do you have a student loan which is not fully repaid?(Required.)

Yes

No

12.To avoid repaying more than you need to, tick the correct Student Loans that you have - use the guidance above to help you.
Please tick all that apply(Required.)

13.For security reasons please confirm the last 4 digits of your 8 digit bank account number.
(Required.)

Account digits

5th digit

6th digit

7th digit

8th digit

14.Nationality(Required.)

Admiral Recruitment Registration

Online Registration