New Employee Details Form

Step 1 of 3 - Your Details

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Date of Birth*
Date Format: DD slash MM slash YYYY
Email*
Next of Kin*
First Last
Relationship*
Next of Kin Phone*
Next of Kin Email*

Tax File Number*
Bank*
Branch*
BSB Number*
Account Number*
Name Assigned to the Account*
Employment Type*
Ordinary Hours of Work
Job Title*
Department*

Working Entitlement Check*
I give permission for FurBaby to check my working entitlements.
Shari Investment Trust, trading as FurBaby, is required to check your Australian Working Entitlement. If you do not have the appropriate working entitlements your employment will be ceased effective immediately.
Have you ever been convicted of a criminal offence in the last 10 years?*
If you have a criminal record, please detail...
Disclosure of a conviction does not automatically disqualify you from consideration of employment.
Have you ever made a worker's compensation claim?*
Employer where the workers compensation claim was made...
Date of accident
Date Format: MM slash DD slash YYYY
Details of injury
Do you have a disability / medical condition of problem with your health that could affect your ability to perform your duties?*
Please note that working with dogs is very strenuous on your body, please disclose all pre-existing injuries or medical conditions, that could reasonably expect to be aggravated by performing employment related duties. Section 79 of the Worker’s Compensation and Rehabilitation Act 1981 gives Worker’s Compensation Dispute Resolution Body discretion to refuse award to compensation which would otherwise be payable where it is proved that the worker has at the time of seeking or entering employment, wilfully and falsely represented him/herself as not having previously suffered from the disability, the subject of the claim for Compensation.
If yes you do have an injury or medical condition please provide those details?
Declaration*
I declare that the information I have provided in this form is true, complete, and correct to the best of my knowledge.
I understand that providing false or misleading information may result in disciplinary action, including termination of employment.
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We don’t think of dogs and cats as pets.
We believe your furbaby is family!

Phone: 9440 6690

New Employee Details Form

Step 1 of 3 - Your Details