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Registration Form

Personal Details

* First Name

* Last Name

* Email

* Address

* City

* Post Code

* Country

Date of Birth

Home Phone

* Mobile

Social Media Used:

Facebook

Skype

Twitter

Other

Enter any Social Media user names here

* Emergency Contact:

* Emergency Contact Phone

* Relationship with Contact

* What languages are you fluent in?

Position Requirements

* Preferred Position

* Preferred Location

* Hourly Rate / Salary Required

* Frequency

Current Salary

Frequency

* Notice Period Required

* Select all that apply for preferred work type

* Preferred Hours

* Where did you hear about us?

What other agencies are you registered with?

Education/Qualifications

Please list any relevant Qualifications and Institute

Right to work in New Zealand

* Are you a NZ Resident/Citizen?

Yes

If NO please advise what NZ Work Visa you currently hold

Visa Expiry Date (please upload a copy of your visa below)

* Do you have your own reliable transport?

Yes

* Current Drivers Licence (please upload a copy below)

Learners

Restricted

Full

Null

Other Licences held

Drivers Licence (Front)

Choose file

Drivers Licence (Back)

Choose file

Passport or Birth Certificate

Choose file

Any other relevant licences/tickets

Choose file

AnY other relevant licences/tickets

Choose file

Visa

Choose file

Software Packages Used (General & Specialist)

Accounting

CBA

MYOB Accounting

MYOB EXO

QuickBooks

SAP

Xero

Cloud Based

(name of cloud based platform)

In-House

Name of In-house platform

OtheR

Microsoft

Ms Access

MS Excel

MS PowerPoint

MS Publisher

MS Word

MS Outlook

OthEr

Payroll

Accredo

IMS Payroll

MYOB Payroll

Other

Technical

CAD/AutoCAD

Inventor

Revit

Solid Works

OTher

PPE - Do you have

Hard Hat

High Vis Vest

High Vis Polo Shirt

Steel Cap Boots

Steel Cap Gumboots

Safety glasses

Declaration of Health

* Are you suffering, or ever suffered from any illness, ailment or condition that may impact on your ability to carry out the role/s for which you have applied?

Yes

* Are you allergic to, or have sensitivity to, any substances or chemicals?

Yes

* Are you taking any drugs or medicine which could impair your judgement or impact on your ability to carry out the functions of the role/s for which you have applied?

Yes

If Yes to any of the above questions, please provide details:

* Do you suffer from, or have you ever suffered from any injury or medical condition caused by gradual process, disease or infection, e.g. hearing loss, occupational overuse syndrome, repetitive strain injury, that the role/s for which you are applying may aggravate or contribute to?

Yes

If Yes, please provide details

* Are you aware of any other reason why you may not be able to completely and safely perform the normal duties associated with the type of work for which you are applying?

Yes

If Yes, please advise what effects or limitations there are, as a consequence, on your ability to carry out your duties

* Have you made any ACC claims for loss of earnings as a result of injury or incapacity?

Yes

If Yes, please provide detailS

Declaration

* I declare that I have understood the above information and all the information that I have provided to Able Personnel (2024) Ltd is true, accurate and complete.

Declaration of Criminal Record Statement

* Have you had any criminal convictions?

Yes

If Yes, please advise conviction, date, penalty

* Are you awaiting the hearing of criminal charges or have you conducted yourself in a manner which could result in criminal charges?

Yes

If Yes, please advise charges, date and court hearing date

Declaration

* I solemnly declare that the information provided to Able Personnel (2024) Ltd is a complete account of any criminal conviction or pending charges. I understand that any misrepresentation of facts may result in the termination of my employment in the future.

Ministry of Justice Check Authorisation

As part of our recruitment process, a Criminal Conviction and Driver History/Traffic Offence check may be carried out.

I authorise Able Personnel (2024) Ltd to request a copy of my criminal conviction and traffic conviction history through the Ministry of Justice Web Service portal, subject to section 7 of the Criminal Records (Clean Slate) Act 2004, as part of a pre-employment check.

I also authorise the Criminal Records Unit, Ministry of Justice, to release a copy of my criminal conviction, subject to section 7 of the Criminal Records (Clean Slate) Act 2004, to the third party, Able Personnel (2024) Ltd.

Authorisation

* I authorise the above and for Able Personnel (2024) Ltd to release a copy of my criminal conviction history to other third parties or potential employers where it relates to a job application that Able Personnel has made on my behalf.

Employee Conduct

* Have you been dismissed within the last 2 years?

Yes

If Yes, please advise of the circumstances

* Have you ever been part of disciplinary action in the last 5 years?

Yes

If so, what were the details?

Current / Most Recent Employment

* Company

* Length of Employment

* Position

* Reason for Leaving

DECLARATION AND AUTHORISATION

1. I WILL UPHOLD the standards of work, honesty and reliability expected of any employee, whether temporary or permanent.

2. I AGREE that information given to me by Able Personnel regarding available positions or client companies shall remain absolutely confidential. If accepted by Able Personnel I hereby agree that I will not discuss anything seen or heard in the workplace that the employer / client expects to remain confidential.

3. I AGREE that I will not enter into any private contractual agreement with employers / clients introduced to me by Able Personnel for a period of 12 months from first introduction, unless arrangements are made through the agency. I ALSO AGREE that I will not intentionally introduce any person to an employer / client for a private contractual agreement unless arrangements are made through the agency. Such approaches may lead to legal action.

4. I AUTHORISE Able Personnel to contact any person and seek further information from them which may be relevant to my application for employment. Without limiting the generality of this authorisation, I authorise Able Personnel to obtain any information about me held by credit reference agencies where applicable to a particular position.

5. I AUTHORISE Able Personnel to disclose information which they hold about me to any potential employer relevant to my application for employment.

6. I UNDERSTAND that Able Personnel complies with the Unsolicited Electronic Messages Act 2007. I understand that when registering to use services provided by Able Personnel, I am asked to provide a valid email address and/or mobile phone number. I understand that the supply of an email address and/or mobile phone number will be deemed consent to receive email and/or text messages (SMS or other) from Able Personnel under Part 1 Section 4 (1) by inferred consent. Such email and/or text message will be confined to messages about services that Able Personnel considers may be of interest to me.

7. I UNDERSTAND that my employment may be terminated if, after investigation, any employer discovers that any information which I have provided either in the application or in support of it Is false or misleading.

8. I AUTHORISE Able Personnel to retain any information about me until I advise that I no longer wish to seek employment opportunities through Able Personnel. I understand that Able Personnel might retain non-active information about me on their computer system.

9. I UNDERSTAND that if I have previously been registered with Able Personnel, information from my previous registration (if still available) may be referred to and used again.

10. I CERTIFY that all the information that I have provided to Able Personnel is true, accurate and complete.

* I confirm all of the above is valid and true.

* I accept and authorise the above to be carried out if required as part of the recruitment process with Able Personnel (2024) Ltd

Able Personnel will take reasonable precautions in accordance with the Privacy Act 2020 to safeguard your personal information against the loss, misuse or unauthorised use or disclosure. Personal information held by Able Personnel about you can be accessed by you, and you have the right to request correction of that information in accordance with the Privacy Act 2020.