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 |
Deductions Working Sheet P11 |
 |
 |
 |
Year to 5 April |
 |
 |
 |
2013 |
 |
 |
 |
 |
Employee's Details in |
 |
CAPITALS |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Box A |
 |
Box C |
Surname |
 |
Box G |
Works / Payroll number etc |
 |
 |
Employer's name |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Grant |
 |
2 |
 |
 |
 |
 |
 |
Life Cycle Tests |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Box D |
First two forenames |
 |
Box H |
 |
Day Month Year |
 |
 |
 |
 |
 |
 |
Box B |
IR Office & Employer's PAYE Reference |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Hugh |
 |
 |
 |
 |
01/01/2000 |
 |
 |
 |
 |
 |
 |
Date of starting |
 |
 |
 |
123 / A1040 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Box E |
National Insurance Number |
 |
 |
 |
Box I |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
NA |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Date of leaving |
 |
 |
 |
Please keep this form for atleast 3 years after the end of the year to which it relates, or longer if you are asked to do so. |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Date of birth |
in figures |
 |
 |
 |
 |
Box F |
 |
 |
 |
 |
 |
 |
 |
Box J |
 |
 |
 |
 |
 |
 |
 |
Day Month Year |
 |
 |
 |
 |
 |
 |
 |
 |
Y |
 |
 |
 |
 |
Student Loan Deductions case |
 |
 |
 |
 |
 |
 |
12/12/1974 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
National Insurance Contributions |
Note: LEL = Lower Earnings Limit,
UEL = Upper Earnings Limit |
Statutory Payments |
 |
 |
 |
Mth No. |
 |
Wk No. |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Earnings details |
 |
 |
 |
Contribution details |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Statutory Sick Pay (SSP) paid to employee in the week or month included in column 2 |
 |
 |
Statutory Maternity Pay (SMP) paid to employee in the week or month included in column 2 |
 |
Statutory Paternity Pay (SPP) paid to employee in the week or month included in column 2 |
 |
Statutory Adoption Pay (SAP) paid to employee in the week or month included in column 2 |
 |
 |
Student Loan Deductions
(whole pounds only) |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
For Employer's use |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Earnings at the LEL (where earnings are equal to or exceed LEL) |
 |
 |
 |
Earnings above the LEL, upto and including the ET |
 |
 |
Earnings above the ET, upto and including the UEL |
 |
Total of employee's & employer's contributions mark minus amounts 'R' |
 |
Employee's contributions due on all earnings above the ET |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
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 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
1a |
 |
£ |
 |
 |
1b |
 |
£ |
 |
P |
 |
 |
1c |
 |
£ |
 |
P |
 |
 |
1d |
 |
£ |
 |
P |
 |
 |
1e |
 |
£ |
 |
P |
 |
 |
1f |
 |
£ |
 |
P |
 |
 |
1g |
 |
£ |
 |
P |
 |
 |
1h |
 |
£ |
 |
P |
 |
 |
1i |
 |
£ |
 |
P |
 |
 |
1j |
 |
£ |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
1 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
2 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
3 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
1 |
 |
 |
4 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,007.03 |
 |
 |
259.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
508 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
5 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
6 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
7 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
2 |
 |
 |
8 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
9 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
10 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
11 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
12 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
3 |
 |
 |
13 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
14 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
15 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
16 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
4 |
 |
 |
17 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
18 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
19 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
20 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
5 |
 |
 |
21 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
22 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
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 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
23 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
24 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
25 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
6 |
 |
 |
26 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
P11(2016-17) |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
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 |
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 |
 |
 |
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 |
 |
 |
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 |
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 |
 |
 |
 |
 |
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 |
 |
 |
 |
 |
 |
 |
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 |
 |
 |
 |
 |
 |
 |
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 |
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 |
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 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
National Insurance Contributions |
Note: LEL = Lower Earnings Limit,
UEL = Upper Earnings Limit |
Statutory Payments |
 |
 |
 |
Mth No. |
 |
Wk No. |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Earnings details |
 |
 |
 |
Contribution details |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Statutory Sick Pay (SSP) paid to employee in the week or month included in column 2 |
 |
 |
Statutory Maternity Pay (SMP) paid to employee in the week or month included in column 2 |
 |
Statutory Paternity Pay (SPP) paid to employee in the week or month included in column 2 |
 |
Statutory Adoption Pay (SAP) paid to employee in the week or month included in column 2 |
 |
 |
Student Loan Deductions
(whole pounds only) |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
For Employer's use |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Earnings at the LEL (where earnings are equal to or exceed LEL) |
 |
 |
 |
Earnings above the LEL, upto and including the ET |
 |
 |
Earnings above the ET, upto and including the UEL |
 |
Total of employee's & employer's contributions mark minus amounts 'R' |
 |
Employee's contributions due on all earnings above the ET |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
1a |
 |
£ |
 |
 |
1b |
 |
£ |
 |
P |
 |
 |
1c |
 |
£ |
 |
P |
 |
 |
1d |
 |
£ |
 |
P |
 |
 |
1e |
 |
£ |
 |
P |
 |
 |
1f |
 |
£ |
 |
P |
 |
 |
1g |
 |
£ |
 |
P |
 |
 |
1h |
 |
£ |
 |
P |
 |
 |
1i |
 |
£ |
 |
P |
 |
 |
1j |
 |
£ |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
27 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
28 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
29 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
7 |
 |
 |
30 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
31 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
32 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
33 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
34 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
8 |
 |
 |
35 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
36 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
37 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
38 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
9 |
 |
 |
39 |
 |
 |
 |
356 |
 |
 |
52.00 |
 |
 |
2,322.00 |
 |
 |
1,089.83 |
 |
 |
265.14 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
562 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
40 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
41 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
42 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
10 |
 |
 |
43 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
44 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
45 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
46 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
11 |
 |
 |
47 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
48 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
49 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
50 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
51 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
12 |
 |
 |
52 |
 |
 |
 |
0 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
|
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Total |
 |
 |
3204 |
 |
 |
468.00 |
 |
20898.00 |
 |
9725.67 |
 |
 |
2380.26 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
0.00 |
 |
 |
5004 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
SSP Total |
 |
SMP Total |
SPP Total |
 |
SAP Total |
SLD Total |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Scheme Contracted-out Number |
 |
 |
 |
(For Contracted-out Money Purchase schemes OR Contracted-out Money Purchase Stakeholder Pension schemes only) |
 |
 |
End of Year Summary |
 |
 |
 |
Enter NI Contributions
Table letter here |
 |
 |
 |
 |
 |
 |
 |
 |
 |
1a |
 |
£ |
 |
 |
1b |
 |
£ |
 |
 |
1c |
 |
£ |
 |
 |
1d |
 |
£ |
 |
p |
 |
 |
1e |
 |
£ |
 |
p |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
3204 |
 |
 |
468 |
 |
 |
20898 |
 |
 |
9,725.67 |
 |
2,380.26 |
 |
 |
 |
 |
S |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
P11(2016-17) |
 |
 |
|
|