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Personal Details

Date of Birth

Aboriginal

Gender:

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Torres Straight Islander

Organisation

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Country of Birth

Country of Citizenship

Position

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Parental Consent:

Main Language Spoken

Cultural Background

Parents Name:

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Contact Details

Email:

Postal:

Phone:

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Mobile:

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Suburb

Address Line 1

State

Post Code

Facebook:

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Address Line 1

Residence:

Twitter:

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Suburb

LinkedIn:

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State

Post Code

Emergency Contact
Name

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Email:

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Relationship:
Phone:

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Mobile:

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Personal Identification

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Drivers Licence No.

USI

Expiry Date

Working with Children

Passport Number

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WWCC Number

Passport Country

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WWCC Application Number

Immicard Number

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Tax File Number

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My Education Details
Unique Student Identifier

<Number>

Highest School Level

<Number>

Year Completed High School

<Number>

Still at School
Highest Qualification Held

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Medical Conditions

Vision Impairment

Hearing Impairment

Acquired Brain Impairment

Diabeties

Physical Impairment

Blood Donor

Blood Type

Epilepsy

Immunised

Vaccinations

Asthma

Mental Illness

Other

Dietary Needs 

Gluten Free

Dairy Free

Vegetarian

Halal

Egg Free

Lactose Free

Vegan

Accredited Training

N.B. All Accredited Training must be validated by supplying a copy of the  Statement of Attainment in the Attachments

Aquatic Hub Online Learning

N.B. All Accredited Training must be validated by supplying a copy of the  Statement of Attainment in the Attachments

PD Activities and Events
Licenses and Accreditations
Employment Details

Employer:

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Employee ID

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Position

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Employment Type

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Start Date

End of Probation

Primary Cost Centre

Additional Cost Centre

Primary Manager

Secondary Manager

Termination Date

Timesheet

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Employment History
Pay Details

Effective From:

Salary / Pay Rate

Superannuation

Working Hours

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Annum

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Salary Inc Super

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State

Benefits
Bank Details

Account Name

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Percentage

State

BSB #

Account Number

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Tax Details

Tax File Number

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Lodgement Status

Are you an Australian Resident for Tax Purposes?

Do you want to claim the tax free threshold from this payer

Are you an approved working holiday maker in your organisation?

Do you want to claim seniors and pensioners tax offset by reducing the amount withheld from payments made to you?

Do you want to claim a zone, overseas forces, dependent spouse or dependent (invalid and carer) tax offset by reducing the amount withheld from payments made to you?

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Do you have a Higher Education Loan Program (HELP), Student Start‑up Loan (SSL) or Trade Support Loan (TSL) debt?

Do you have an accumulated Financial Supplement debt?

Notes