Personal Data Change Form - UAE

Instructions: This form is used for employees to change personal data. Please ensure to complete Section A and only those fields where data will change. If the section requires supporting documentation, please attach a copy of a valid supporting document to this form before submitting. Once you have completed the appropriate section, please ensure that you sign and date this form at the bottom to authorize this change.

B. Update Name/Nationality/Marital Status

C. Update Contact Numbers and Email Please indicate if you are adding the contact information or removing this contact information

Note:*= Mandatory Fields

To submit this form please email to HR Connect at hrconnectuk@estee-lauder.co.uk or fax to HR Connect at 00971 4 2123509. For additional inquiries, please contact HR Connect at + 00971 4 2123621. Note:*= Mandatory Fields

A. *Employee Information *Employee Number:

*Effective Date of this Change (DD-MM-YYYY):

*Name:

First Name:

Previous Last Name:

Last Name:

Preferred Name:

Nationality:

Marital Status:

Civil Partnership Legally Separated Unknown Living Together

Divorced Domestic Partner Married

Separated Unknown

Single Widowed

(If Yes) Effective Date (DD-MM-YYYY):

*Contact Type: (Choose One Type)

Personal Email: Email Address:

Number

Add Remove Update

Add Remove

Primary Home Country Address Mailing Address (*If different from Primary Home Country Address) Secondary Address

D. Update Bank Account Information *Indicates Required Fields

Account #1:

Account Number: Account Name: _

Bank Name: Bank Code: IBAN Number:

Short Code: SWIFT: BIC:

Bank Branch:

E. Change Address: Please Complete the Following:

Address Line 1: Address Line 2: _

Address Line 3: Emirate: PO Box:

Country:

Other Address Information: **Please Select The Address Type For This Change:

Address Line 1:

Address Line 3:

Country:

Other Address Information:

**Please Select The Address Type For This Change

Emirate: PO Box:

Primary Home Country Address Mailing Address (*If different from Primary Home Country Address) Secondary Address

Address Line 2:

Update Emergency Contact or Dependents (If you need to add additional contacts, please use the lines below and then if necessary, attach another sheet to this form.)

Please note: you must have at least one Emergency Contact on file at all times

Add/Edit:

*Emergency Contact Information 1: (Select an option)

Number 1: Please check the Action you would like to take on this emergency contact

*If removing, please indicate the name of the contact you would like to delete. Also, please provide your new emergency contactinformation.

Name of Emergency Contact to be removed:

Add New Edit Existing Remove

First Name:

Relationship (Please Check One):

* *Last Name:

Add/Edit:

*Emergency Contact Information 1: (Select an option)

Number 2: Please check the Action you would like to take on this emergency contact

*If removing, please indicate the name of the contact you would like to delete. Also, please provide your new emergency contactinformation.

Name of Emergency Contact to be removed:

Add New Edit Existing Remove

First Name:

Relationship (Please Check One):

* *Last Name:

Number: ________________________________________

Number: ________________________________________

UPDATE PASSPORT DETAILS:

Country: *Issue Date: *Passport Number:*Expire Date: *Place of Issue:

UPDATE PASSPORT DETAILS:

Country: *Issue Date: *Passport Number:*Expire Date: *Place of Issue:

G. Employee Signature

*Name: *Signature:

*Email or Phone Number: *DD-MM-YYYY:

HR Connect Use Only

Date Received (DD-MON-YYYY) : Date Completed (DD-MON-YYYY) :

ESR Name: Signature:

Audit Use Only:

Auditor’s Name: Issue:

Date Audited (DD-MON-YYYY) : Date Corrected (DD-MON-YYYY) :

Assigned To: Corrected By:

Notified Participants Downstream:

Remarks: