EMPLOYEE DETAILS FORM

Personal Details

Title *

Given Name *

Surname *

Address Line 1 *

Suburb *

State *

Postcode *

DOB *

Contact Phone Number *

Contact Email *

Current Position *

Bank Account Details (Compulsory)

Nominated Bank Account Name *

BSB *

Account Number *

Superannuation Details

Nominated Superannuation Fund (please note if nothing is selected you will be defaulted HostPlus)

Please Select *

Default HostPlusOther

Nominated Fund

Super Membership Number

Tax File Number (Compulsory)

Tax File Number *

Education Details

Current University/Institute Name

Course Name

Course End Date (Month-Year)

Visa Details

Nationality

Passport Number

Visa Status

Visa Subclass

Visa Expiry Date

Work Hours Restriction (if any)

Emergency Contact Details

Emergency Contact Name *

Relationship *

Emergency Contact Phone Number *

Emergency Contact Email

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination.

I have read and agree to the declaration above, and confirm the information provided is true and correct. *

Signature (type your full name) *

Date *

Fields marked with * are compulsory.

Your information is secure and will only be used for employment purposes.