Pre - Employment Application Form For New Employees

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PRE - EMPLOYMENT APPLICATION FORM FOR NEW EMPLOYEES
Full Name: ...............................................................................................
Address: ….………………………………………………………………..
…………………………………………………………..……..…………..
Email: ………….……………………………..…
(may send payslips via email)
Date of Birth: …………....... Contact No: …………………………….
IRD No: ……………………… IR330 Attached
Yes
No
.
Bank Account No: ………………………………………
NZ Drivers Licence No: ………………… Classes held: .............................
Do you hold a current OSH Forklift Certificate?
Yes
No
Entitlement to Work: Do you have authority to work in New Zealand?
If Yes, are you a;
NZ Citizen
NZ Resident Permit Holder
Work Visa Holder: if yes, what is the expiry date?.............................
Student Visa Holder: if yes, what is the expiry date?..........................
(Student permit holders may only work 20 hours per week or full time during semester breaks,
provided the student visa conditions specify this)
Evidence of Entitlement to work:
New Zealand Birth Certificate: No………………….
Certificate of Citizenship: No………………………
New Zealand or Australian passport: No…………….
Residence Permit: No…………………..
Work Visa: No……………………….
Student Visa: No……………………...
Working Holiday Scheme Visa: No………….
RSE Visa: No……………………….
Visa View evidence: …………………………….
Other (specify): Type & No ……………………..
Employment Agreement:
Employment Agreement must be signed and dated before starting.
Original documents to be sighted, photocopied & attached by employer
Past seasonal labour experience:
(Include length of time employed and any training received)
…………………………………………………………………………………
……………………………………………………………………………
Employee Signature: ______________________
Date: _________________
This is not an official document of the Ministry of Business, Innovation and Employment

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