Personal profile form for agreements – universal
Instructions for completing the form
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Instructions
If you enter into Agreement to complete work without being employed by UP at the same time and you are:
- a student – produce a confirmation of study (any termination of study must be reported to the payroll department without undue delay),
- employed elsewhere – produce a certificate issued by such an employer evidencing that your health insurance contributions are paid in an amount equaling or exceeding the minimum wage,
- self-employed – produce a statutory declaration if you pay health insurance contributions in an amount equaling or exceeding the minimum wage,
- registered at the Job Office – produce a certificate issued by the Job Office.
Personal data processing information
https://www.upol.cz/en/university/data-protection/Personal details
Please provide exact dates of completion / graduation of each level of university education, including date of habilitation or professorship appointment.
(if you are an associate professor or a full professor, please also submit all copies and appointment documents if not submitted before)
(if you are an associate professor or a full professor, please also submit all copies and appointment documents if not submitted before)
| Education | Name of the institution | Field | Year of completion / graduation | Type of final exam |
|---|---|---|---|---|
Contact details
(Please complete if you had sickness or pension or accident insurance abroad before entering into the employment; if you do not know the name and address of the foreign insurance company, give the country or, if appropriate, the name and address of your employer abroad).
Address of the insurer (foreign insurance company)
INSTRUCTIONS: If you have not signed the tax allowance form with a different employer you can sign it at UP; this also applies to employees under agreements other than the employment contract.
Is your salary subject to garnishment as part of judgment enforcement by a judicial enforcement officer or licensed enforcement agent? Are you insolvent?*
Please submit the required payroll documents and copies of the relevant decisions
| Type of employment* | Employer contact* | |
|---|---|---|
Do you currently have another employment in an EU country?*
You are required to submit an A1 form
https://europa.eu/youreurope/citizens/work/social-security-forms/index_en.htm
https://europa.eu/youreurope/citizens/work/social-security-forms/index_en.htm
Are you currently employed and self-employed at the same time?*
Other employment at Palacký University Olomouc (UP)
Are you a student?* (any termination of study must be reported to the payroll department without undue delay)
INSTRUCTIONS: If you apply for tax credit, please provide the payroll department with a confirmation of study
Bank account for salary payment
I hereby declare that I have not concealed any facts and that all the data provided are complete and true. I also understand that I must report all changes in the provided data in writing to the Human Resources Office and Payroll Office within 3 days unless a longer time limit is set by law.