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Pre-Employment Verification
Have you ever suffered any type of personal injury caused by a work-related gradual process, disease, or infection?
Have you ever had any condition, which is likely to contribute to a work-related gradual process injury, disease, or infection?
Have you been declined certification as a Crowd Controller (Door Security)?
Do you have a work visa? If yes when does this expire? Work visas or evidence of authority to work in New Zealand may be requested.
Do you have a General Manager’s certificate for the purposes of the Sale and Supply of Alcohol Act?

I CERTIFY that the above information is true and correct and authorise investigation of all information contained herein for the purpose of ascertaining my suitability for employment, including conducting credit and criminal record checks through the appropriate authorities and contacting referees and previous employers.  I understand that if I have given false or misleading information or if I have left out any important information, I may not be considered for appointment.  If I am appointed before any inaccuracies on this form are discovered, my employment may be terminated.  I understand that in some situations, providing false information may amount to an offence under the Crimes Act.  I understand that if I accept employment I will be required to sign an Employment Agreement.
If appointed, I agree to observe all rules, policies and procedures issued by the establishment.

Thanks for submitting!

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