UNIVERSITY COLLEGE CORK

P6

REQUEST TO BE PAID ELECTRONICALLY VIA PAYPATH

EMPLOYEE NAME

EMPLOYEE ADDRESS

DEPT/RESEARCH CENTRE

STAFF NO.

PPS Number (RSI No)

BANK NAME

BANK ADDRESS

NAME IN WHICH ACCOUNT IS HELD

TYPE OF ACCOUNT

E.g. Current, Deposit

ACCOUNT NUMBER

BANK SORT CODE

Signed by Employee

Date

Please return this form by the 15th of the month to Tony O Riordan, Payroll Manager

Any queries in relation to the form should be addressed to the Payroll Office