New Employee Details
Welcome to the Team
Employee Name
*
First Name
Last Name
Preferred Name
*
Title i.e. Mr/Mrs/Ms/Miss
Mobile
*
Email
*
example@example.com
Account Details
*
Rows
BSB
Account Number
Commonwealth
NAB
Westpac
ANZ
Bendigo Bank
Bank of QLD
ING
HSBC
Other
Drivers Licence
Rows
indicate if yes
Licence Number
Expiry Date
QLD
NSW
VIC
WA
SA
NT
TAS
ACT
International
Additional Licence/s
Rows
indicate if yes
Expiry Date
Fork Lift
HR
MR
First Aid
White Card
Describe your general Health
*
Rows
indicate if yes
Poor
Fair
Good
Excellent
Are you allergic to anything and is medication required? if yes please describe...N/A if not applicable.
*
Do you have any physical or mental conditions which may limit your ability to perform certain kinds of work? If yes, please describe specific work limitations. (This may include medications that have special requirements or other conditions that we should be aware of in case of accident or emergency) example working at heights, vertigo etc. N/A if not applicable.
*
Do you have any existing injuries? If yes, please describe below. N/A if not applicable.
*
Have you received compensation for injuries? If yes, please describe below. N/A if not applicable.
*
Signature
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