New Employee / Change of Details

Full Name:
Prefered Name:
Mr / Mrs / Miss / Ms / Other: / Date of Birth:
Address:
Post Code:
Home Telephone No: / Mobile No:
Bank Account details for payment of salary / wages:
(Please complete “Change of Bank Account” form to request pay to be allocated to more than one account)
(must be (6) digits)
BSB No: (eg 123 - 456) /
- / Account No:
Account in the name of:
Occupational Safety & Health / Yes / No
To the best of your knowledge and belief do you have a medical condition, disability or injury which may preclude you from undertaking the duties of the position?
Do you have a past or current Workers Compensation claim?
If Yes to any of the above, please provide details (inc specific requirements):

* These items are NOT a barrier to employment with HIF. However, health issue, disability or injurt likely to affect your work performance or which could recur or be aggravated by the type of work for which you are employed you must disclose this information.

Useful Information / Yes / No
Do you speak multiple languages aside from English?
If yes and you are happy for us to call upon you as a translator, what languages do you speak:
Clearance Information / Yes / No / Please note that provision of a current Federal Police Clearnace is a condition of employment.
Have you ever been convicted of any offence in any court; or are currently the subject of any charge pending before any court?
If yes, please provide details:

* This information is considered highly confidential and holds specific relevance to the role performed only. You are not required to provide details of convictions declared “Spent” under the ‘Spent Convictions Act’ 1988. HIF reserves the right to withdraw employment where a prospoective candidate, or employee, possesses a conviction that HIF considers to be at conflict with their employment.

Yes / No
Have you completed and attached a Tax File Number Declaration form?
Have you completed and attached a Choice of Superannuation Fund form?
Have you obtained an original or copy of a recent Federal Police Clearance? (required)
Have you provided a copy of your Drivers Licence or Passport (ID Check)?
Employee Signature: / Date: