THE UNIVERSITY OF THE WEST INDIES

NEW HIRE FORM

THIS FORM PROVIDES ADDITIONAL INFORMATION AND IS TO BE COMPLETED BY NEW EMPLOYEES AT THE
TIME OF HIRE. PLEASE TYPE OR PRINT IN BLOCK CAPITALS, ANSWERING EACH QUESTION AS COMPLETELY
AS POSSIBLE. ENTER DATES IN THE FORMAT YYYY/MM/DD.

POSITION IDENTIFICATION

Position Offered:

Vacancy Ref No: Department:

PERSONAL INFORMATION

Last Name: Maiden Name:

Prefix:
First: Middle: (Mr, Mrs, Miss, Dr, other-specify)
Current Address: Mailing Address:

Current Phone No: Other Contact Phone No: Fax No.:

Email Address: University Housing Required: Yes  No 

Date of Birth:

Tax Registration No. (TRN): NIS#:

CITIZENSHIP
If you are an expatriate, you will need to enter citizenship, passport information here. If you have dual nationality, enter
the country of your second nationality in the second Country box.
Country of Citizenship: Passport#: Issue Date: Expiry Date: 2nd Country:

EMERGENCY CONTACT

Identify persons to be contacted in case of emergency. If possible, at least one contact should be located in Jamaica
Name (Last, First) Relationship to Address Primary Telephone No.
Employee Contact
(Yes/No)

1.

2.

DEPENDENTS

Please provide full information on spouse, dependent children and dependent parents older than 60 years
Name (Last, First) Address (If different Phone: Accompanying Relationship Sex
1. from Employee’s): Employee? to Employee
(Yes/No) Male 
Female 
Full-time Birthdate: Citizenship: Country of Birth
student?
(Yes/No):
Phone Accompanying Relationship Sex
2. Employee? to Employee;
(Yes/No) Male 
Female 
Full-time Birthdate: Citizenship Country of Birth:
Student?
(Yes/No):
3. Phone: Accompanying Relationship Sex
Employee? to Employee:
(Yes/No) Male 
Female 
Full-time Birthdate: Citizenship: Country of Birth:
Student?
(Yes/No):

HR Form 102
Version #1-04
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4. Name (Last, First) Address (if different Phone: Accompanying Relationship Sex
from Employee’s): Employee? to Employee: Male 
(Yes/No) Female 
Full-time Birthdate: Citizenship: Country of Birth:
Student
(Yes/No):
5. Phone: Accompanying Relationship Sex
Employee? to Employee:
(Yes/No) Male 
Female 
Full-time Birthdate: Citizenship: Country of Birth:
Student
(Yes/No):
6. Phone: Accompanying Relationship Sex
Employee? to Employee:
(Yes/No) Male 
Female 
Full-time Birthdate: Citizenship: Country of Birth:
Student
(Yes/No):

I declare that the particulars in this application are true to the best of my knowledge and belief and that I am
aware that failure to provide true and accurate information could result in the offer being withdrawn or
employment terminated forthwith.

Employee’s Signature: ______________________________ Date: _______________________

For Official Use Only

Contract Type: Start Date: End Date:

Permit Type (New/Extension): Permit #: Status (Applied/Granted/Renewed):

Duration: (Days/Months/Years): Start Date: Expiry Date: Issue Date:

Eligible for Housing? (Yes/No): Housing Preference? Eligible for 2 Year Tax Exemption?
Allowance  Accommodation  (Yes/No):

Certified Documents Provided: Yes  No  Certified By: ________________ Date: _________________

HR Form 102
Version #1-04