Maynooth University Personnel Form

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TEST TEST TEST TEST
Personal Details
* Title:
* Firstname:
* Lastname:
* Middle Initial(s):
* Known As:
* Gender:
* Date of Birth (dd/mm/yyyy):
* Marital Status:
* Nationality:

Contact Information
Postal Address (All University correspondence will be sent here):
* Address 1:
* Address 2:
* Address 3:
* County:
* Post Code:
* Country:
Alternate Address?:
* Address 1:
* Address 2:
* Address 3:
* County:
* Post Code:
* Country:
* Contact Tel No.(country code/prefix/number):
( e.g. 353 - 1 - 123456)
* Mobile Tel No.(country code/prefix/number):
( e.g. 353 - 86 - 1234567)
(Mobile may be used used to pre-register you for University services )
* eMail:

Banking Information
* BIC:
* IBAN:

Employment Details
* Have you worked with MU previously?:
* Please provide your Staff no :
* Are you a Post Graduate Student in receipt of a scholarship?:
* Commencement date of Scholarship(dd/mm/yyyy):
* Commencement date of Employment(dd/mm/yyyy):
* P.P.S. No.:
* Department:
* Category of Work:
Previous Employer:
Previous Employer Address:
* Address 1:
* Address 2:
* Address 3:
* County:
* Post Code:
* Country:

Pension Information - Main Employment
* Is THIS employment your MAIN public service employment?
* Are you a member of a public service pension scheme in respect of THIS employment? Yes No
* If no, do you receive a payment in lieu of pension in respect of THIS employment? Yes No
* If no, have you an entitlement to a retirement gratuity in respect of THIS employment? Yes No
* If no, do you have any other pension arrangement in respect of this employment? Yes No
* If yes, please give further details :
* Do you have any other employment in the Public Service?
* Please give further details :
* Have you availed of a period of unpaid leave more than 26 weeks since the 1st January 2013?

Security
Security Code
* Please type the above security code:
I certify the foregoing information to be correct to the best of my knowledge and belief, and I undertake to immediately notify the Payroll Office at Maynooth University of any change affecting the details given.
* Click here if you agree:


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