Rangiora Nursery
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Account profile
Full name
Used for communication. Less than 50 characters.
Nickname (name you liked to be called in English)
Nationality (as seen in your passport)
Phone Number (Only NZ Mobile)
Phone number displayed as a clickable link that dials on supported devices
Email
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Address
Address Line 2
Suburb
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Region
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Gisborne
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Postcode
Date of birth
day / month / year
Gender
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Prefer not to respond
Emergency contact person
Relationship to emergency contact person e.g. partner, friend, parent
Emergency contact - phone number
Phone number displayed as a clickable link that dials on supported devices
NZ Drivers Licence Number if applicable
Passport number
If a Visa Holder - Client Number
Type of Visa e.g. WHV, SSE
Visa Holder - Date of entry to NZ
Visa Holder - Date visa expires
Wet weather clothing - Jacket Size
XS
S
M
L
XL
XXL
Wet weather clothing - Over Trousers Size
XS
S
M
L
XL
XXL
Height (cm)
Have you ever been charged or convicted of a criminal offence or do you have a pending conviction?
Yes
No
Do you have any medical conditions that may affect your work e.g. back or limb injury, allergies
Yes
No
Are you a member of KiwiSaver (applicable to NZ Residents and Citizens only)
The Employee has the option of joining KiwiSaver, and as a new Employee will be automatically enrolled into KiwiSaver (where eligible). The application of the KiwiSaver scheme is in accordance with the provisions of the KiwiSaver Act 2006.
Yes
No
Please select your preferred KiwiSaver contribution rate
3%
4%
6%
8%
10%
NZ IRD Number
Tax Code
Refer to
www.ird.govt.nz
Name of NZ Bank
NZ Bank Account Number
-
-
-
Account access
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password
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