Employment Details Form Full Name Phone Address Postcode Email Emergency Contact 1 Contact 1 Phone Emergency Contact 2 Contact 2 Phone Bank Account Details Bank Account Details IRD Number Tax Code Car Licence Yes No Car Licence Number HT Licence Yes No HT Class/es Code Medical Conditions Next of Kin Convictions Yes No If yes, please list Ministry of Justice Fines Yes No Site Safe Yes No Site Safe Date of Expiry Kiwisaver Rate 3% 4% 8% GST Number: Industry Quals Number Date of Expiry Work Entitlement status New Zealander Work Permit Passport Number Permit Number SUBMIT The North Island's House Removal Company