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Next Step 1. Role Details * Role Title * Role Number * Commencement Date 2. Personal Details * Title MrMrsMsMissDr * First Name Preferred First Name Second Name * Last Name * Date of Birth * Gender MaleFemale * Contact telephone Number * Email Address Home Address * Street * Suburb * Post Code * State Postal Address Street Suburb Post Code State Emergency Contacts (Recommended) Name Relationship Next of Kin YesNo Address Home Telephone Mobile / Work Telephone 2nd Contact Name Relationship Next of Kin YesNo Address Home Telephone Mobile / Work Telephone 4. Bank Details for Salary Payment (via EFT) * Account Name * Institution * Branch * BSB * Account no. Deductions e.g. second net pay, union fees, health funds, etc. (Attach list for multiple deductions) Account Name Institution Branch BSB Account no. 5. Superannuation Fund All superannuation guarantee contributions will be sent to First State Super unless notification of a complying superannuation fund is given. Fund Member no. Address   TFN authority (Authority to provide superannuation fund with tax file number given) Employee name Previous Public Service Employment History Do you have previous public service employment? NoYes * Department * Personnel no. * Employment Period From * Employment Period To Previous public service employment history (Please attach supporting documentation below in the attachments section) Qualifications Please attach copies of tertiary and work related qualifications. Technical Assistants require a School Certificate; Technical & Professional Officers require qualifications in accordance with the relevant award.  New Qualifications File Description 1 (AttachedDocuments) Delete  Special Needs Do you require special workplace requirements? NoYes * What special facilities or equipment in the workplace do you require for a safe work environment? Attachments It is mandatory to provide the signed letter of offer and certified proof of identification prior to commencement * Letter of offer and Health declaration (AttachedDocuments) * Identification (birth certificate or drivers licence) (AttachedDocuments) Just a Field name Privacy notice: The information you have provided is for the purpose of employment administration. It will be used by NSW Department of Industry for salary payments and other administrative purposes. The information has been provided (a) voluntarily or (b) because it is required by law and will be stored securely within the NSW Department of Industry Records Management System. You may access or correct your personal information by accessing Employee Self Service on SAP ByD or by writing to the Employee Services, NSW Department of Industry, Locked Bag 21, Orange NSW 2800. Your personal data will be routinely disclosed to the NSW Premier’s Department as anonymous data, as part of this department’s workforce profile. For further information or if you do not want your data included in the workforce profile please contact the Senior Workforce Administrator.

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