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1 Details you have already supplied

Thomas

Van de klundert

Thomas

0220436943

Phone

thomasjamesvdk75@gmail.com

31 Jan 2022

Available from

30 Apr 2022

Available until

Date of birth

30/6/2005

Gender

Male

Nationality

New Zealand

Allowed to work in NZ

2 Details of your job offer

Packer

Job

Start date

17 Feb 2022

Finish date

17 Feb 2022

Declined

Please download and read the employment agreement document below. Please print and sign this document and bring it with you on your first day of work. If you don't have a printer we can print it for you when you arrive.

Download Employment agreement

Download Job Description

Download Safety handbook

3 Further details we need from you

Please complete the following information and click submit to confirm you accept this job offer.

IRD Number (000-000-000)

If you do not have a number, you must contact IRD to get one before submitting this form.

Work Visa Number

Kiwisaver contribution %

Bank account number for wages

Please tick any options below that apply to you.

I can work school holidays, weekends & public holidays?

I agree to work within our health & safety rules?

In the event of an emergency I would require assistance?

Your Signature, use your mouse or finger on mobiles.

Emergency Contact No.

Please upload a photo of your work visa

Select File

Please upload a photo of your signed employment agreement

Select File

Address

Declined

Please tick if you have had, or been in contact with any of the following illnesses in the last 14-21 days?

I have had flu like symptoms (Influenza or Novel coronavirus (COVID-19)

I have had an Infectious Disease, Enteric fever (Typhoid, Paratypoid), Salmonella, Shigella, Hepatitis, VTEC E.Coli 0157 or Jaundice?

I have had Diarrhoea and/or Vomiting?

I have had Bronchitis or productive cough? (with phlegm)

I have Skin Conditions, Allergies, Diabetes, Colour Blindness, Transferable Diseases, Or have any Pre-existing medical conditions that may affect your ability to do any tasks at work?

By submitting this online form you confirm that you accept the job offered to you by CAJ Apples and have read and understood the terms and conditions of the employment agreement and that all the details provided are correct.

Your details have been submitted

Please complete items in red

NEW ZEALAND APPLES

1 Details you have already supplied

2 Details of your job offer

3 Further details we need from you

NEW ZEALAND APPLES