New Employee Details Form

First Name

Middle Name

Last Name

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone

Date of Birth

Next of Kin First Name

Next of Kin Last Name

Relationship

Next of Kin Phone

Next of Kin Email

Tax File Number

Bank

BSB Number

Account Number

Name Assigned to the Account

Employment Type

Ordinary Hours of Work

Job Title

Department

Superannuation Membership

Superannuation USI Number

Superannuation Membership Number

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...

Have you ever made a worker's compensation claim?

Employer where the workers compensation claim was made...

Date of accident

Details of injury

Do you have a disability / medical condition of problem with your health that could affect your ability to perform your duties?

If yes you do have an injury or medical condition please provide those details?

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.

New Employee Details Form