Employee Information Form

Employee Information Form
Personal Information
Legal/Birth Name*

First Name e.g. ElizabethLast Name e.g. Wilson
Address*

Street Address e.g. 182 Chapman Street

Suburb e.g. Lower Hutt

City e.g. WellingtonRegion

Postal / Zip Code
Phone Number*

Prefix e.g. 027000-0000
Home Phone Number

Area CodePhone Number
Email*
example@example.com
Birthday*

DayMonthYear
Date
Please upload Valid Photo ID*

e.g. Passport, Drivers License, Birth Certificate
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IRD Number *
Example: 000 000 000
Tax Code*
Example: M
IR330 Tax Declaration Form*

Please download the IR330 from ir330-2021.pdf (ird.govt.nz) and complete - Upload here
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Bank Account Name*
Example: J Bloggs
Bank Account Number*
Example: 00-0000-0000000-00
Are you legally entitled to work in NZ?*

NZ Citizen or ResidentAustralian CitizenNZ Work Visa holder
Please upload a copy of your work visa if required;

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Please download and read the Casual Individual Employment Agreement attached.
Declaration

I, (full name) blanks* declare that I have been provided with a copy of the intended casual individual employment agreement, that I have been advised that I was entitled to seek independent advice about it, and that I have been given a reasonable opportunity to do so.

I further declare that I have read and am able to adequately understand the provisions and implications of this individual employment agreement and that I accept fully the terms and conditions of the agreement.
Signature*

Clear
Today's Date*

DayMonthYear
Date
Should be Empty:

Personal Information