Title Page
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Emplyment Application
Personal Details
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Instructions:
1. Fill out the Employment Application Form below.
2. Make sure to answer all questions in each section.
3. Complete the form by leaving a digital signature.
PERSONAL DETAILS
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Position Applied For:
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Surname:
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Given Name/s:
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Address:
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E-mail Address:
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Contact Telephone:
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Mobile:
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Date of Birth:
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TFN
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Basis of Employment
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Name of Superannuation fund:
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Member Number:
FIT to WORK
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Have you ever suffered any injury/injuries at work? If yes, please outline.
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Have you any physical disabilties?
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Are you fit to work?
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Have you ever claimed for Workers Compensation?
NEXT OF KIN
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Surname:
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Name:
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Relationship:
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Address:
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Contact Number:
BANK DETAILS
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Financial Institution:
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Account Name:
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BSB:
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Account Number:
Acknowledgement
ACKNOWLEDGEMENT
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I agree that all information prepared in this form is a true and accurate.
I have read the below conditions of employment:
1. Payment made fortnightly in arrear
2. Notice of termination or resignation will be required 14 days notice in writing
3. Absence due to sickness will require production of doctor's certificate before any entitlements are granted
4. I have ready and understood all company policies outlined in Recom's Company Policy Manaual -
Signature of Applicant
