EMPLOYEE DETAILS FORM - TURNS PTY LTD

RENT - A - FENCE WA EMPLOYEE DETAILS FORM

Rent a Fence WA Employee

Handbook PO Box 248 Guildford, WA 6935

Phone: 0421 33 33 44

Fax: 1300 798 806

Email: wa@rentafence.com.au

Web: www.rentafence.com.au

Crew Hub

Personal Information - Step 1 of 9

Personal Information

Name *

First

Middle

Last

Date of Birth *//

Gender *

Male
Female
Prefer not to say

Phone *

Commencement Date

Probation Period Ends (Office use)

Email (pay slips will be sent to this address) *

Confirm Email

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Postal Address (If different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact

Name *

First

Last

Phone *

Relationship *

Do you identify as being of Aboriginal or Torres Strait Islander decent *

Have you ever suffered from any of the following illnesses

Do you have any pre-existing medical conditions / injuries *

If YES Please include details of any required medications

Do you have any current or have you made any past claims for Workers Compensation *

If YES, please detail

Have you ever suffered from any of the following illnesses

Visual defects/eye conditions (including colour-blindness)

Hearing defects/ear conditions

Severe anxiety, depression, other psychiatric disorder

Paralysis or other neurological disorder

Fainting attacks, blackouts, epilepsy or fits

Recurrent headaches, migraine

Vertigo, giddiness or tinnitus

Heart disease, high blood pressure

Asthma, bronchitis, tuberculosis or other chest disease

Peptic ulcer or other digestive or bowel disorder

Liver disorder

Kidney of bladder problems

Gynaecological problems

Eczema, dermatitis, other skin conditions

Diabetes, thyroid or other gland problems

Any blood disorder

Recurrent backache, arthritis, rheumatism

Hay fever, allergies to drugs, animals etc.

Any recurrent infections

Any impairment of immunity to infection

Varicose veins causing trouble

Hernia

Any alcohol or drug related problems or illness

Any other medical condition, physical or mental, not mentioned above

If you have answered YES to any of the above, please provide details:

Have you had

Ever undergone a surgical operation or been admitted to hospital for any reason

Had more than 20 days sickness absence in the past 2 years

Ever been, or are a Registered Disabled Person

Received a Disability Pension

Suffered from an Industrial Disease/Accident

Had a chest X-ray in the past 12 months – If so state place / date / result

If you have answered YES to any of the above, please provide details:

Present Health Status

Are you currently attending a doctor

Are you at present on any medication or treatment prescribed by a doctor

Are you a smoker

Do you drink alcohol? If so how many units per week? (NB 1 unit is ½ pint of beer or 1 medium glass of wine)

Do you have any eyesight defects other than those corrected by glasses

Do you have any hearing problems

Do you have any defect of speech or communication problem

Do you have any physical disability necessitating special aids, or requirements for access to premises

Do you have any other relevant health problems

Single Line Text

What is your height? (without shoes)

What is your weight

If you have answered YES to any of the above, please provide details

1. I declare that, to the best of my knowledge, the information I have given is correct. 2. I understand that I may be required to attend a medical examination 3. I understand that failure to disclose relevant information or giving false information may result in termination of my employment.

Name *

First

Last

Signature

Covid-19 Vaccination Proof As per the government directions it mandotry for all Event Personnel Australia staff to be vaccinated by the 1st December.

Have you been vaccinated for Covid-19 *

Frist Vaccination
Second Vaccination
No
No Booked an appointment

Please upload your Covid-19 certificate

Click or drag a file to this area to upload.

Information For Taxation

Tax File Number (9 Digits)

I have made a separate application/enquiry to the ATO for a new or existing TFN.
I am claiming an exemption because I am under 18 year of age and do not earn enough to pay tax
I am claiming an exemption because I am in receipt of a pension, benefit or allowance

If you have changed your name since you last dealt with the ATO, provide your previous family name

On what basis are you paid

Full-time employment
Part-time employment
Labour hire
Superannuation or annuity income stream
Casual employment

Are you an Australian Resident for Tax Purposes

An Australian resident for tax purposes
A foreign resident for tax purposes
A working holiday maker

Are you claiming the Tax-Free Threshold

Do you have a HELP or Financial Supplement Debt

Signature *

Date

Banking Details

Account Name

Name of Bank

Branch

Branch Number (BSB Number). This MUST be 6 digits

Account Number. This is NOT your card number

I hereby authorise my salary to be paid into the above nominated account. I understand that the Company is not responsible for any fees or charges associated with my nominated account. *

First

Last

Signature

Would you like to use our Superannuation Scheme with CBUS for any Superannuation contributions you receive?

Signature *

Date

Super Infomation

Super Fund Name

Member Number

Fund Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Fund Phone Number

Unique Superannuation Identifier (USI)

Australian Business Number (ABN)

Skill and Qualifications Please indicate areas in which you have had employed experience and include relevant licence or ticket numbers. If you possess skills you would like us to know about, please note them below or attach.

Do you have a drivers licence *

Licence Number

Type / Class of Licence

Expiry Date

Please upload your Drivers License

Click or drag a file to this area to upload.

Do you own a vehicle *

EXPERIENCE

General hand
Follow spot
Wardrobe
Backline / Show Call
Performance lights
Performance video
Performance audio

TICKET

White card
Forklift
EWP
Rigger
Scaffolder
Trade
Other

RECORD LICENCE NUMBER & EXPIRY DATE

Do you hold a White Card *

If “NO” will you obtain one and pay for one

Please upload your White Card

Click or drag a file to this area to upload.

Please upload your Tickets

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload your Tickets

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload your Qualification

Click or drag files to this area to upload. You can upload up to 2 files.

Please upload your Certificates

Click or drag files to this area to upload. You can upload up to 3 files.

Do you hold a current Police Clearance *

If “NO” will you obtain one and pay for one *

Police Clearance

Click or drag a file to this area to upload.

Have you ever been convicted of a crime *

If yes, indicate number of conviction(s), nature of offense(s) leading to conviction(s), how recently offense(s) was/were committed and any sentence(s) imposed

Have you got a working with children's check *

Working with children check upload

Click or drag a file to this area to upload.

Have you got a Frist Aid certificate *

Frist Aid upload

Click or drag a file to this area to upload.

What would you like to up skill on

Past Employment Records

Company Name

Date Started

Nature of Employment (Permanent/Temporary/ Casual/Full-time/Part-time)

Position / Role

Company Name

Date Started

Nature of Employment (Permanent/Temporary/ Casual/Full-time/Part-time)

Position / Role

Resume Upload

Click or drag a file to this area to upload.

Please upload a passport-style photo

Face photo upload

Click or drag a file to this area to upload.

I declare the information I have given is true and correct.

Name *

First

Middle

Last

Signature

Date

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