2011
This form must be completed if you are working under a Tier 2/Tier 5 visa supplementary employment rules. The Tier 2/5 Policy Guidance states that an individual with a Tier 2/Tier 5 visa can carry out supplementary work but the work must meet the criteria below.
The work must be:

In the same profession and at the same professional level as the work for which your
Certificate of Sponsorship was issued unless the work is on the UK Border Agency
Shortage Occupation List http://www.ukba.homeoffice.gov.uk/sitecontent/newsarticles/2011/november/18short-occup

No more than 20 hours per week

Outside of the normal working hours for which your Certificate of Sponsorship was issued.
And you must continue to work for the sponsor recorded on the Certificate of
Sponsorship.
_________________________________________________________________________
To be completed by the Tier 2 or Tier 5 visa holder:
I confirm that I am aware and understand that any work I undertake for the University of
Warwick is under the rules stated above for a Tier 2/Tier 5 visa holder undertaking supplementary work and I will adhere to this.
Please note you do not need to inform the UKBA of any supplementary work.
Name: ________________________________________
Department: ________________________________________
Signed___________________________________________ Date___________________
Appointing Department: Please send this completed form to the Payroll Department with a copy of the Passport, Tier 2 or Tier 5 visa or biometric card and a completed
Appendix B form. The individual cannot be set up on the payroll until the form has been received.
PAYROLL USE
ONLY
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Date
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