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Your First Name (required)
Your Surname (required)
House Number & Street City / Suburb State —Please choose an option—SAQLDNSWACTVICTASWANT Postcode
Your Phone Number
Your Email (required)
Your Date of Birth (required) 12345678910111213141516171819202122232425262728293031 12345678910111220172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
Super Fund Name (required) Super Fund identifier No.(USI or SPIN)(required) - This number verifies your fund electronically Your membership number or reference number - This indetifies your account and your money(required)
Tax file number (9 digits) - This number is issued to by the Austrailan tax department (required) Your Australian Tax rate - Choose category If you’re an overseas traveller you must have an immigration letter to prove your status —Please choose an option—No tax free theresholdTax free thresholdVisa grant notice 15% Are you an Australian resident for tax purposes —Please choose an option—YesNo
Please supply your banking details so that we may pay you.
Correct bank details are very important. Payroll transfers are only done once per week. It is your responsibility to check with your bank/credit union/building society to ensure that the numbers you give us are correct. The BSB must be a 6-digit number. There are no exceptions to this within Australia. Misdirected funds are both time consuming and costly to trace and therefore attract a $15 administration fee. Funds that are deposited into someone else’s account by mistake are irretrievable. • All employee pay slips will be emailed. Ensure you give the correct email address.
Bank Account holder name
Name of Bank/Building Society/Credit Union
Account Number (6 - 10 digits, can NOT be a key card or credit card account.)
BSB Number (6 digits)
If any of your numbers are incorrect your pay will not be deposited. Please confirm your numbers.
If you have any existing conditions or special medical requirements that may affect you at work, please record them in the space provided. These will be kept confidential.
I have read and understand the Pridham Viticulture Conditions of Employment, Work Policies and OH&S Issues and accept them as part of my conditions of employment. I have completed a Tax File Declaration Form (attached) and provided my bank details. I will supply superannuation fund details including super member number.
PLEASE ENSURE ALL DETAILS ARE CORRECT BEFORE SUBMISSION.
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Daytime Phone Number (required)
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