Questionnaire globaltaxback.co.uk
 
     Please complete this form in full  
Full Name:
National Ins. No:
Nationality:
E-mail:
Date of Birth:
Birthplace:
Telephone:
 Your UK
  address
Postcode  
 Your overseas
  address
Postcode  
Date of Marriage:
Wifes/Husbands Name:
Wifes/Husbands DOB:
Father's Full Name:
Mother's Full Name:
      Where did you hear about us?
 
When did you arrive in the UK?
/ /
When did you leave the UK (or when are you
intending to leave?
/ /
If you are leaving the UK (or have left) do you intend
to return to work in this country during the next
12 months?       Yes         No
 
 
 
Please state your last employer before entering the
UK and indicate the approximate starting and
finishing dates:
 Last
 employer
 Start date: Finish date:  
Have you ever previously claimed a tax rebate
in the UK?
   Yes
    No
  Year:
Did you use an agency? (If so, please give details)
 Agency
 Name and Address
Postcode  
 
 
GLOBAL TAX BACK STRONGLY RECOMMENDS BANK TELEX TRANSFERS FOR ALL OVERSEAS PAYMENTS
Bank Name:
 Branch
 address
 Country: Postcode:  
Account Holders Name:
Account Number:
Sort Code:
 
Please send my refund to my overseas address:
Please send my refund to my UK address:
I wish to collect my refund from the Taxback office:
Is there any additional information, which you think
may be relevant to your claim?
(If Yes, please give details)