Application Authorisation
Salary Sacrifice
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Application Status:
Not Authorised
Drivers Name
:
Phil Test
Payroll No:
*
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Drivers Email:
fgbwfhweoj@kafleet.com
Organisation:
University Hospitals Of Morecambe Bay NHS Foundation Trust
Vehicle Ref:
135827
Chosen Vehicle:
FORD FOCUS HATCHBACK - 1.0 EcoBoost Hybrid mHEV Active 5dr
Fuel Type:
Petrol
Electric Range:
N/A
Carbon Dioxide Emission (CO2) Value:
123
g/km (To be confirmed on delivery)
Car Benefit Percentage (of list price):
30%
Business Miles:
0
Private Miles:
6000
Taxable list price (estimated):
£29,065.00
Monthly Sacrifice:
£767.67
Annual Sacrifice:
£9,212.08
Annual Employer Payroll Saving:
£1,002.30
The Employee has confirmed that they
do not
currently have outstanding debt to their Employer
To be completed by
Budget Holder
(tick each box to confirm):
I confirm the driver is not on the at risk register.
I confirm the applicant meets the eligibility criteria of the
Salary Sacrifice
scheme.
To the best of my knowledge the information provided by the employee is accurate.
Cost Code:
*
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Full Name:
*
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Contact Telephone number:
*
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I confirm the order can proceed:
I do not approve this order:
Notes to user for rejected ordering user
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I do not agree this order because