Employment record – Employment Details - The Taxation Australia

Employment record – Employment Details

Employers' Legal Name:(Required)

Registered employer’s Name

Employee Name:(Required)

Prefix First Name Surname

Gender

Address

Residential Address

Email(Required)

Mobile/Phone(Required)

Date of Birth(Required)

Account Holder Name

BSB Number

Account Number

Bank Name

Employment start date:(Required)

Employment status:

Tax Form Declaration(Required)

Employee Tax File Number

Australian Resident for Tax Purpose(Required)

Yes

No

Claim the tax-free threshold(Required)

Yes

No

Higher Education Loan Debt (HELP)

Yes

No

Financial Supplement Debt

Yes

No

Name of Fund(Required)

Fund ABN(Required)

Superannuation fund USI

Employee – Fund member number(Required)

Next to Kin: Full Name

Next to Kin : Contact Number

Notes and Comments:

Signature(Required)

Date