Exposure Group - New starter - Information request and onboard

Please kindly fill out the required fields. If you do not have any answer for each section you can use the words "none" or "not applicable" or "NA".

Full name *

Date of Birth *


Street 1 *

Street 2

City *

State *

Post code *

Phone number *

Mobile phone number

email address *

Nationality *

Identification number

Passport number


Account number *

Account holder name *

Emergency contact *

Relationship to you *

Contact number *

Do you have a pre-existing injury or medical condition/disability that would affect your ability to do this work? *

If so, can you provide details of the injury/disability or medical condition, and any current restrictions it may have on your ability to do this work?

Are there any ways that we might be able to reasonably accommodate your restrictions that would enable you to do this type of work?

Tax File Number Declaration Form *

I have been issued with the Fair Work Statement, and understand my rights and obligations *

I have been provided with, and signed, a contract of employment and letter of offer. I understand the terms and conditions of my employment, and have been given access to the employment award relevant to my position *