Employment record – Employment Details

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    Employment record - Employment Details

    Employer Name
    Name of your Employers*

    Employer details
    First Name

    Last Name

    Date of Birth

    Mobile

    Home Phone

    Email

    Full Address*

    Bank Account Details
    Account Holder Name

    BSB

    Account Number

    Next of Kin:
    Full Name

    Mobile

    Email

    Tax Form Declaration
    Employee Tax File Number

    TFN Declaration Date

    Claim the tax-free threshold

    YesNo

    Australian Resident for Tax Purpose

    YesNo

    Higher Education Loan Debt (HELP)

    YesNo

    Financial Supplement Debt

    YesNo

    Additional information

    Superannuation Details
    Name of Fund

    Fund ABN

    Fund Phone

    Fund Address: Street

    Suburb

    State

    Postocde

    Unique Superannuation Identifier (USI)

    Your Member Number

    Signature

    Date