Alinta Apparel EOI & ATA Step 1 of 3 33% General InformationName(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email(Required) Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth(Required) DD slash MM slash YYYY Employment DetailsWhen did you commence work with Alinta Apparel?(Required)If you're unsure of the exact date, please provide your best estimate, such as the beginning of the month and year. DD slash MM slash YYYY When did you cease work with Alinta Apparel?If you're unsure of the exact date, please provide your best estimate, such as the beginning of the month and year. DD slash MM slash YYYY What position/s were you employed in?(Required)What was your employment type/s?(Required) Full Time Part Time Casual How may hours (on average) did you work per week?(Required)Did you work on Saturdays, Sundays or Public Holidays? If so, how frequently (every week, fortnightly, monthly etc.)(Required)What award were you employed under, and what was your relevant classification under this award (if known)?(Required)Were you required to wear a uniform or any specific clothing for work purposes?(Required)Please include any further details relevant to your employment at Alita Apparel.Would you like to sign an Authority to Act form?This gives your lawyer, that is our office the authority to represent you for the purpose of requesting employee records Yes No Authority To ActFull Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Date of Birth(Required) DD slash MM slash YYYY AUTHORITY TO RELEASE INFORMATION I HEREBY AUTHORISE AND DIRECT YOU to RELEASE to my lawyers, ADERO LAW of 3 Hobart Place, (PO Box 5121) City ACT 2601 copies of documents pertaining to my employment, payroll and time and attendance, and/or such other documentation and/or information requested by them. Please note that providing your signature on this authority to act allows Adero to identify you for the purpose of procuring employment records from Alinta Apparel.Date(Required) DD slash MM slash YYYY Signature(Required)
