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<img src="https://christchurchhealthcentre.co.uk/wp-content/uploads/2020/06/christ-church-health-centre.svg" alt="Christchurch Health Centre" style="max-width: 300px;" />

Vaccinator Weekly Timesheet

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Vaccinator Weekly Timesheet

Full Name *

Week Commencing *

Monday AM hours

Monday PM hours

Tuesday AM hours

Tuesday PM hours

Wednesday AM hours

Wednesday PM hours

Thursday AM hours

Thursday PM hours

Friday AM hours

Friday PM hours

Saturday AM hours

Saturday PM hours

Sunday AM hours

Sunday PM hours

Total Weekly Hours

Hourly Rate

Total Weekly Pay

Sort Code *

Account Number *

Declaration *

I accept that this is a locum arrangement and that it is my responsibility to pay any Income Tax or National Insurance that may be due on these earnings. I agree that Christchurch Health Centre bears no responsibility in this matter.

Signature

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