Seven Network EOI & ATA Step 1 of 2 50% General InformationName(Required) First Last Email(Required) Phone(Required)Date of Birth(Required) DD slash MM slash YYYY Address(Required) Street Address City State / Province / Region ZIP / Postal Code Employment Details (Optional)When did you commence work with Seven Network?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 Seven Network?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 location(s) did you ordinarily work at?What was your employment type/s? Full Time Part Time Casual What were your position(s) and classification(s)?Do you believe you were employed in the correct classification?Were you paid for all hours overtime hours worked?Did Seven accurately record all hours you worked?If you would like to mention anything else please comment below. Or to discuss further, please contact us via: seven@aderolaw.com.auDo you authorise Adero to request your employee records from Seven to help verify your claim?(Required) Yes No Authority To ActAUTHORITY 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 SEVEN NETWORK (OPERATIONS) LIMITED.Date(Required) DD slash MM slash YYYY Signature(Required)