Personal Data Change Form South Africa Instructions: This form is used for employees to change personal data. Please ensure to complete Section A and only those fields where data will change. If the section requires supporting documentation, please attach a copy of a valid supporting document to this form before submitting. Once you have completed the appropriate section, please ensure that you sign and date this form at the bottom to authorize this change. To submit this form please email to HR Connect at hrconnectuk@estee-lauder.co.uk or fax Toll Free to HR Connect at 0800204276.For additional inquiries, please contact HR Connect at Toll Free at 0800204275 or Local at + 0046 854512761. Note:*= Mandatory Fields A. *Employee Information *Name: *Employee Number: *Effective Date of this Change (DD-MM-YYYY): B. Update Name/Martial Status Full Names as per ID Document: Previous Last Name: Preferred Name: Marital Status: Civil Partnership Legally Separated Unknown Living Together Separated Married outside of Community of Property Divorced Domestic Partner Widowed Single Married in Community of Property (If Yes) Effective Date (DD-MM-YYYY): C. Update Contact Numbers and Email Please indicate if you are adding the contact information or removing this contact information Email Address: Add Remove *Contact Type: (Choose One Type) Number Add Remove Update
D. Update Bank Account Information Name of Bank: Account Number: Branch Code: Account Type: Savings Cheque Branch Name: Transmission Current Other: E. Change Address: Please Complete the Following: Unit Number: Street Number: Complex Name: Street Name: Suburb City: Postal Code: Country: Other Address Information: **Please Select The Address Type For This Change: Primary Physical Address Postal Address (*If different from Primary Physical Address) Secondary Address Additional Address Unit Number: Street Number: Complex Name: Street Name: Suburb City: Postal Code: Country: Other Address Information: **Please Select The Address Type For This Change: Primary Physical Address Postal Address (*If different from Primary Physical Address Secondary Address
Update Emergency Contact Information- Please Note, you must have one Emergency Contact on filed at all times. *If removing, please indicate the name of the contact you would like to delete. Also, please provide your new emergency contact information. Name of Emergency Contact to be removed: Number 1: Add New Edit Existing Remove *If removing, please indicate the name of the contact you would like to delete. Also, please provide your new emergency contact information. Name of Emergency Contact to be removed: Add/Edit: *First Name: *Last Name: Relationship (Please Check One): *Emergency Contact Information 1: (Select an option) Number: Number 2:Please check the Action you would like to take on this emergency contact: Add New Edit Existing Remove *If removing, please indicate the name of the contact you would like to delete. Also, please provide your new emergency contact information Name of Emergency Contact to be removed: Add/Edit: *First Name: Relationship (Please Check One): *Last Name: *Emergency Contact Information 1: (Select an option) Number:
G. Employee Signature *Name: *Signature: *Email or Phone Number: *DD-MM-YYYY: HR Connect Use Only Date Received (DD-MON-YYYY) : Date Completed (DD-MON-YYYY) : ESR Name: Signature: Audit Use Only: Auditor s Name: Issue: Date Audited (DD-MON-YYYY) : Date Corrected (DD-MON-YYYY) : Assigned To: Corrected By: Notified Participants Downstream: Remarks: