Super Retail Group | Registrations Register Interest – Super Retail Group Step 1 of 3 33% Important Notice for Rebel Sport Participants Adero Law has filed a class Action against Rebel Sport Limited for salaried managers who worked shifts between May 2020 and May 2026. If you were employed by Rebel Sport, the registration process has been moved to a dedicated form. To register for the Rebel Sport Class Action, please visit the Rebel Sport webpage here for further information and access to the registration form.Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÃ…land IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Birth(Required) PositionsWhich Super Retail Group brand(s) have you worked for since 2019? Supercheap Auto BCF Macpac On what basis were you employed to work at Super Retail Group since 2019?(Required) Full Time Part Time Casual What were your position title(s)?(Required)Are you still employed by the Super Retail Group?(Required)Yes/NoYesNoThis field is hidden when viewing the formStart date at Rebel Store(Required) write down the first of the month if you cannot recall the exact dayEnd date at Rebel Store write down the first of the month you cannot recall the exact day, if you are still working there please feel free to leave it emptyStart date at Supercheap Auto(Required) write down the first of the month if you cannot recall the exact dayEnd date at Supercheap Auto write down the first of the month if you cannot recall the exact day, and if you are still working there please feel free to leave it emptyStart date at BCF(Required) write down the first of the month if you cannot recall the exact dayEnd date at BCF write down the first of the month if you cannot recall the exact day, and if you are still working there please feel free to leave it emptyStart date at Macpac(Required) write down the first of the month if you cannot recall the exact dayEnd date at Macpac write down the first of the month if you cannot recall the exact day, and if you are still working there please feel free to leave it emptyThis field is hidden when viewing the formWhich Rebel Store location(s) have you worked at since 2019?(Required)Which Supercheap Auto store location(s) have you worked at since 2019?(Required)Which BCF store location(s) have you worked at since 2019?(Required)Which Macpac store location(s) have you worked at since 2019?(Required) OvertimeDid you work hours that were unpaid?(Required)Yes/NoYesNoWere you regularly required to start work before your rostered start time?(Required)Yes/NoYesNoWere you regularly required to end work after your rostered end time?(Required)Yes/NoYesNoWhere you worked a shift beyond 5 hours, were you able to take a full uninterrupted meal break?(Required)Yes/NoYesNoDid you receive proper payment under the Retail Industry General Award for overtime rates, penalty rates and/or public holidays?Yes/NoYesNoList what you believe you did not receive proper payment forAre there any further issues you would like to raise in respect of any underpayment?Would you be willing to complete an Authority to Release form, granting Adero Law permission to request your employment records from Super Retail Group?(Required)Yes/NoYesNoATAI HEREBY AUTHORISE Adero Pty Ltd trading as ADERO LAW (Adero) to be provided with any and all documents pertaining to my employment with Super Retail Group and otherwise act on my behalf.SignatureName of Signee