EMPLOYEE DETAILS FORM THIS DOCUMENT WILL REMAIN CONFIDENTIAL WHEN COMPLETED Your Details Surname First Name Address State Postcode Home Telephone Mobile Next of Kin Mobile Email Right to Work Details Do you identify as Aboriginal or Torres Strait Islander Yes No Are you an Australian Citizen or Permanent Resident? DIRECT MANAGER IS PERSONALLY ACCOUNTABLE FOR SIGHTING PROOF OF CITIZENSHIP Yes No If No, what type of temporary Visa do you have? Copy of Photo Identification e.g. Drivers License Yes No How many hours does your Visa allow you to work per week? Please provide a copy of the following; Australian or New Zealand passport, or Australian birth certificate and photograph, or Australian citizenship certificate, or Evidence of permanent resident status*, or Temporary visa Certified Qualification (Please provide proof of relevant qualifications) Licences or Certificates Class Other details Expiry Date Drivers Licence Yes No Lavacude ValderramaSneidy Katherine55 Villier St, North [email protected][email protected] Aid Certificate Yes No Certificate II or III in Asset Maintenance Yes No Working With Children Check Yes No Police Check Yes No As you are working in a position of trust, do you have any criminal convictions that may make it inappropriate for you to take this position? Yes