Ether new starter form

About you

First name(s), in full *Please fill this in.

Family name *Please fill this in.

Preferred nameWhat you'd like to be called at work, if different.

Date of birth *Please enter your date of birth.

Mobile number *Please enter a mobile number.

Email address *Use the same email we sent your offer to.Please enter a valid email address.

Residential address *Please enter your address.

Postal address (if different)

Emergency contacts

Who we call if something happens to you at work.

First contact: name *Please fill this in.

Their relationship to you *Please fill this in.

Their mobile *Please enter a phone number.

Another number for them

Second contact: name and relationship

Second contact: mobile

Health information

Optional, and only used to keep you safe at work. Leave anything blank you'd rather not share.

Anything a first aider should know?For example asthma, epilepsy, diabetes or a severe allergy.

Do you carry emergency medication at work?

Adrenaline pen Inhaler Insulin or glucose Other

Food allergies or needs for staff meals

Anything else you'd like us to be aware of?

Who can see what you've written in this section? *

The Directors, and duty managers on shift so they can help The Directors only Nothing to share

Please choose one.

Certificates

Which of these do you hold?

Manager's Certificate or first aid expiry dates, if you hold them

Photos of your certificates * Use the upload link in your welcome email. Photos from your phone are fine.

I've uploaded them using the link in my welcome email I'll upload them before my first shift I don't have any certificates

Please choose one.

Right to work in New Zealand

Bring the original document to your first shift. A manager will check it before you start.

Which best describes you? *

NZ citizen Australian citizen NZ or Australian permanent resident Visa holder

Please choose one.

Which document will you show us? *

NZ passport Australian passport Birth certificate and photo ID Visa documentation

Please choose one.

Visa type *Please fill this in.

Visa expiry date *Please enter a date in the future.

Visa conditions that apply to work (location, occupation, hours) *Copy them from your visa letter or eVisa.Please fill this in.

Tax code (IR330)

IRD number *That IRD number doesn't look right. Please check it (8 or 9 digits).

Is this job your main or highest source of salary or wages? *

Yes No

Please choose one.

Your tax code * Not sure? Use the IR330 tax code guide at ird.govt.nz. Most people with one job and no student loan are M.

Please choose your tax code.

KiwiSaver (KS2)

Are you a KiwiSaver member? *

Yes No

Please choose one.

Are you on a savings suspension? *

Yes No

Please choose one.

Are you on a temporary rate reduction? *

Yes No

Please choose one.

Choose a contribution rate * If you're not a member you'll be enrolled automatically. You can opt out with IRD between week 2 and week 8. Please choose a rate.

Pay

Payday is Wednesday.Each pay covers the week before (Monday to Sunday).

Name on the bank account *Please fill this in.

Bank account number *For example 12-3456-7890123-00That doesn't look like a NZ bank account number (15 or 16 digits).

Declaration

I have received:

I declare that the information I have provided on this form is true and correct. *

I agree

Please tick to agree.

Full name (this is your signature) *Please type your full name.

Date *Please enter today's date.

New starter form

About you

Emergency contacts

Health information

Certificates

Right to work in New Zealand

Tax code (IR330)

KiwiSaver (KS2)

Pay

Declaration

Thank you