Coles | Registration Investigation Claim

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State(s) Where you Worked in a Salaried Manager Position (select all that apply)

Name*

Prefix First Middle Last

Phone*

E.g. 0412 345 678

Email*

Address*

Street Address Suburb City State / Province / Region Post Code Country

Date Of Birth*

Were you employed in a salaried manager role at a Coles supermarket at any time between 1 October 2020 and 30 September 2024*

Salaried Manager Start Date*

If you cannot recall your exact start date, please use the first date of the month when you believe you started

Salaried Manager Finish Date (optional)

State(s) Where you Worked in a Salaried Manager Position (select all that apply) (optional)

Salaried Manager Position(s) Held (optional)

Last Employee ID (optional)

Register Interest Investigation Claim – Coles