Employee Details for HR Records
Please complete the details for your Employee Record
Personal Information
Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Postcode
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Email
example@example.com
Date of Birth
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Female
Male
Gender Neutral
Rather Not Say
Mobile Number
Emergency Contact information
Name (Next of Kin)
First Name
Last Name
Mobile Number
Relationship
Banking Details
Providing correct and accurate account information is the responsibility of the employee. If incorrect information is supplied the employer is not responsible for recovering lost payments.
Bank Name
Name of Banking Institution
BSB Number
Six Digit Number
Account Number
Account Name
Your Name
Tax File Declaration Information
Tax File Number
Are you an Australian or New Zealand Resident for Tax Purposes?
Yes
No
Do you wish to claim the Tax Free Threshold from this payer? ( If you require further information please check https://www.ato.gov.au/individuals/working/working-as-an-employee/claiming-the-tax-free-threshold/)
Yes
No
Claim seniors and pensioners tax offset by reducing the amount withheld from payment made to you?
Yes
No
Do you have an accumulated Higher Education Loan Program(HELP) debt?
Yes
No
Do you have an accumulated Financial Supplement debt?
Yes
No
Are you a working holiday maker?
Yes
No
Superannuation Information
All employees must provide existing superannuation membership details or elect for JKLP Group to set up a new fund with HostPlus
Please start a new fund for me with HostPlus
Yes
No
Existing Super Fund Name
Membership Number
Employee Declarations
Please answer yes, no or not applicable to each question below.
Health Statement - Do you suffer from any pre-existing injury, illness, medical condition or allergy, which may impact on your ability to safely perform the inherent requirements of your role?
Yes
No
If yes, add additional information below
WorkCover Claim - Have you ever made a worker's compensation claim against an employer? If so, please provide the details.
Yes
No
If yes, add additional information below
Visa's - Please confirm you fully understand the conditions of the visa that you currently hold. It is your responsibility to keep the People & Culture team informed of any changes to your visa status and to provide the appropriate documentation. Breaches will result in dismissal
Yes
No
Not Applicable
Please upload a copy of your current Visa documentation
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of
Fair Work Information Statement - Please read and acknowledge that this information has been provided to you prior to commencing your employment.
I have been provided with the Fair Work Information Statement.
HR Document Checklist
Please ensure the following documents are completed, signed and returned to the People & Culture team.
Employment Contract
Position Description
Superannuation Standard Choice Form
Tax File Number Declaration
Signature
*
Declaration: I confirm that the information I have given is true and correct and that there are penalties for deliberately making false or misleading statements
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