ࡱ> MOL{ bjbjzz .J 80008h4,0/d,Z4)\/^/^/^/^/^/^/$1Q4///"\/\/.,|-[gF^,H//</,44$--4L.E0u"EEE//TXEEE/4EEEEEEEEE :  Season Ticket Salary Advance Scheme Application Form  Section A ~ Personal Details To be completed by employee (Please print details) Full Name Payroll No: Home Address . Dept: .. Post Code Job Title I understand that I am applying for an advance of salary that will be recovered monthly directly from my salary. I also note that In the event of my leaving employment without repaying the full amount or I fail to produce the required evidence of purchase within 4 weeks of submitting the application form then the remaining balance will be deducted in full from my next available salary. If my application is granted I can confirm that I have read the guidance notes and agree to the stated terms and conditions of the loan with Vlog. Signed Print Name Date ...  Section B ~ Transport Information To be completed by employee Season ticket Purchased for: (Please tick box) Train  FORMCHECKBOX  Bus  FORMCHECKBOX  Underground  FORMCHECKBOX  Details of Journey (please complete the below for each mode of transport) From.. To Via From.. To Via Name of Travel Company .. Total Cost of Season Ticket Duration of Season Ticketmonths  Section C ~ HR Approval I authorise this application in accordance with the policy and conditions and confirm the applicants employment details meet the criteria for the loan. I am not aware of any intention of the employee to leave the University within the duration period of the season ticket. Advance Approved by Date. Print Name .. Job Title...  Section D ~ Payroll Instruction Advance Amount net (Cost of season ticket) Recovery Period . (Duration of season ticket 1month) Advance recorded  FORMCHECKBOX  Signed. Date Print Name . Season Ticket Salary Advance Evidence Form  Section A ~ Personal Details To be completed by employee (Please print details) Full Name Payroll No: Home Address . Dept: .. . Job Title .  Section B ~ Details of Season Ticket To be completed by employee I confirm that I have purchased a season ticket with the advance of salary. Ticket Details (please complete the below for each mode of transport) Start Date .. Expiry Date Ticket Number 1.. Ticket Number 2. Total Cost Evidence attached: Original receipt of Purchase  FORMCHECKBOX  Copy of the Season Ticket  FORMCHECKBOX  I agree that any difference in the advance and cost of ticket will be deducted from my next salary. Signature Date Print Name  Section C ~ HR Confirmation I confirm that I have checked the details provided against the original application and: All is correct, no further action  FORMCHECKBOX  The value of the ticket differs to the advance amount  FORMCHECKBOX  If the value differs:  Section D ~ Payroll Instruction Form Please deduct from the next available salary the amount of Value deducted .. Month      FILENAME \p I:\PAYROLL\SEASON_TICKET\Season Ticket Application Form v3.doc  AUTHOR tclem Page  PAGE 2  DATE \@ "dd/MM/yyyy" 15/08/2013  FILENAME \p I:\PAYROLL\SEASON_TICKET\Season Ticket Application Form v3.doc  AUTHOR tclem Page  PAGE 2  DATE \@ "dd/MM/yyyy" 15/08/2013 $678Trs    ) ; Y Z [ ^ _ ȼ}o}`Qheh`56>*CJaJheh0ae56>*CJaJheh 56CJaJheh`56CJaJheh0ae56CJaJhhh_7h0aehL^h0aeCJaJhL^hL^5CJaJhL^h0ae5CJaJh_xh0ae5jh0aeUhh_75CJaJhK5CJaJhIh0ae5CJaJhk5CJaJ68W) Q R P Q gdegdsgdI$a$gdZ4_ c Q R X f p {      * + , > ? 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UBc;8P2W7[aLv1pf[4nJ                                   2         f?E,4N ff?N E,4{^ bT@RwnKbT@hUOfR{^=0n =0nax _nfaxwnK 9s dKBj G0N"_k*+Z4Y5h_7?g@ARE_EKhVNxQ6V~IZP\.]B]L^`be0aeyo[t?u*Y*@kut >g0ekIdm#!D@_x J L @@UnknowntclemG*Ax Times New Roman5Symbol3. *Cx Arial5. .[`)Tahoma;Wingdings?= *Cx Courier NewA$BCambria Math"hzzQڦO O !4D D 2QHP ?#2!xx Season Ticket Application Formtclem Keith Brooke$      Oh+'0h   $ 0 <HPX` Season Ticket Application Formtclem Normal.dotmKeith Brooke2Microsoft Office Word@@8C@]@]O ՜.+,0 hp  VlogD  Season Ticket Application Form Title  "#$%&'()*+,-./0123456789:;=>?@ABCEFGHIJKNRoot Entry FKegPData X1Table!4WordDocument.SummaryInformation(<DocumentSummaryInformation8DCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q