Laurent Bakery Pty Ltd

Retail Employee Details Form 2022/23

Section 1: Must Be Completed

Reason for Completing
Form: New Employee - Ensure all sections are completed

Emp No.
Surname
Given Name(s)
Section 2: To Be Completed By The Employee
Date of Birth Age
(DD/MM/yyyy)
Address
Suburb State
&Postcode
Home Phone No. Mobile No.
Email Address
Emergency Contact Details
Name
Relationship Phone No.
Banking Details
Name Account Held In
Name of Bank
BSB No. Account No.

Visa Details - Please attach the document

Residency (Circle the Citizen / Permanent resident / Visa
relevant)

Please Provide

Employee’s Signature

Date
Section 3: To Be Completed By The Manager
Position Retail Assistant
Location Little Collins (Melbourne)
Effective Date
Employment Status Part Time
Postion Level Retail Assistant - Level 2
Pay Code According to #N/A
Above

Base Rate According to Loaded Rate

Code (If Casual)
Other Agreed Pay Rate - Must Be Signed by Retail Operations Manager
Current Rate of Pay $ base salary

$ superannuation

$ total

New Rate of Pay $ base salary

$ superannuation

$ total

Manager’s Name
Manager’s Signature
Date
Time Target MYOB

Confidential 08/15/2023 Page 1