RST/PhotoUpload_v2021_0

Photo Upload

Only an active or retired Employee or Widow(er) can submit this form to provide:

Photographs of employees or a widow(er)
Updated photographs for family members already in receipt of a card or pass issued by Rail Staff Travel
Photographs of active and retired employees and family members when specifically requested by Rail Staff Travel

You cannot use this form to add family members to your rail staff travel record.
To add a family member to your record, you must apply using the Family Members form

* - Mandatory Field

Employee/Widow(er) details

Title

First Name*

Last Name*

Employee/Widow(er) NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

Work Email

Photo Upload Details (add name of person whose photo you are uploading)

First Name*

Last Name*

Date of Birth*

Product you are requesting*

Please attach photo of person named above*

If you have recently joined the industry, or are joining in the near future, and have not been issued with any passes please confirm the company employing you and your start date

Company Joined:

Date Joined:

Photo Information

Your photo must meet the criteria below. It must be a recent digital colour passport size photo, no larger than 4MB and:

Only contain the image of one person
Taken against a light coloured plain background
Clear and in focus and showing only the head and shoulders
Facing forward and looking straight into the camera with a neutral expression
The whole face should be visible. Eyes cannot be covered by sunglasses, tinted glasses, glasses frames or hair. It must also not be in full or partial shadow.
Must not be edited with filters (i.e. a snapchat photo)

When your application is processed your photo will be rejected if it does not meet the criteria above.

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct and the photo is a true likeness of the person I am applying for.
I understand that I am responsible for the correct use of my (and any dependant's) rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use.
I understand that Rail Staff Travel’s privacy information is available online and that I have read it and have made my dependant(s) aware of it.
If I am in any doubt about eligibility, I understand that I must check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself and all of my dependants.

Signed by Employee:

Date:

Form - PhotoUpload Application - XX43 - This form is not valid for use after 30/06/2027

Once completed save the form with a filename of “YourLastname_Your Firstname_XX43_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point