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PAYROLL – Please return this form with your Tax Declaration Confidentiality, I (your name) _________________________________________ of
(address) _________________________________________________________________________________________________
in the state of Queensland and employee of Dove Personnel & Labour Hire, do solemnly declare that I will not either directly or indirectly, except as may be directed by my employers and either while I am or after I cease to be a temporary or permanent employee of the aforesaid firm, make a record or divulge or communicate to any person, any information, matter or thing coming under my notice in the performance of my duties with the firm or with their clients.
I confirm that I have received and read carefully all points of for D5 – Employee information and the Workplace Health and Safety policy and understand my responsibilities to Dove Personnel & Labour Hire.
Signed: ______________________ Print Name: __________________________ Date: ____ / ____ / ____
Form D11 – Bank Authorisation Details To enable us to deposit your wages directly into your chosen bank account we will need the following information. We would like you to take great care in insuring that all the numbers you give us are correct as with the new legislation on Privacy we are unable to verify with your bank that the numbers you gave us are correct and we cannot be held responsible if your pay is deposited into the wrong bank account because of incorrect information.
Name of Bank: ______________________________________________________________
Branch: ____________________________________________________________________
Account Holders Name: _______________________________________________________
BSB: __ __ __ - __ __ __ Account Number: _______________________________________
Type of Account: (eg. Savings) _________________________________________________
If any of this information is rejected by our bank, there will be a delay in processing your wages until the following week due to the bank having to redirect the deposit back into our account and then we submit the pay again the following week. In this instance we will contact you to advise of the rejection. The bank will not release any information to us regarding your account so if there is a problem you will have to check with your bank and advise us of any changes. If you wish to change accounts in the future this must be done in writing and signed by yourself. We will not accept changes by phone or by another person on your behalf. This is done for your own protection.
Please sign to confirm bank details are correct.
Signed: _____________________ Print Name: ____________________ Date: ___ / ___ / ___
Q Leave – Portable Long Service Leave Membership Number
(if known): _______________________________________
Employee’s contact details
Home: __________________________________________
Mobile: _________________________________________
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