Employment Record – Part 1: Employment Details

To be completed and retained for each employee:

Your Name

First Middle Last

Date of Birth

Phone Number(s)*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

TFN/IRD Number

Date Employment Commenced

Employment Status

Full Time

Part Time

Casual

Temporary

Other (Specify)

Job Title

Superannuation Name

Membership Number

Next of Kin*

Contact Details*

Bank Name

BSB Number

Account Name

Account Number