Endeavour Group | Expression of Interest Am I Eligible? Thank you for registering your expression of interest in the BWS & Dan Murphy’s potential Class Action. Step 1 of 2 50% Personal DetailsName* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Phone*Email* Address* Street Address City/Town State 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 RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall 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* DD slash MM slash YYYY Were you employed in a salaried position at a BWS or Dan Murphy's retail store between August 2014 and February 2020?*YesNoConsentHiddenDate MM slash DD slash YYYY Employee Records Authority I agree.I hereby authorise and direct ALH and/or Woolworths to release to Adero Law of 5 Torrens Street, Braddon ACT 2612 electronic copies of all Letters of Offer, payslips, pay history reports, time and attendance data, and/or such other documentation and/or information requested by them pertaining to my employment.Privacy & Communications* I agree.I hereby authorise Adero law to use the information provided to assess my eligibility to participate in the action and consent to receiving further communications from Adero Law regarding my continued participation in the action. About Your EmployerDid you work at BWS or Dan Murphy's?*BWSDan Murphy'sBothWere you employed by Woolworths or ALH?*WoolworthsALHBothUnsureNOTE: Generally, Woolworths stores used Kronos and ALH stores used TimeTEQ for clocking in and out of work. To be certain, you can look at your letters of offer (contract) or payslips.Where did you work?* Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia About Your EmploymentEnter the name(s) and start/finish dates for the store(s) you worked at:*Example: BWS Teneriffe (July 2015 to Sept 2019), BWS Brunswick (October 2019 to present)What was your salaried position title(s)?* Store Manager Assistant Store Manager (General) Product Expert/Wine Specialist Assistant Store Manager (Fulfilment) Other Assistant Store Manager (Customer Service) Enter your other salaried position title:* Did you regularly and accurately clock in when you arrived at work and clock out when you left work, capturing all time worked?*All of the timeMost of the timeLess than half of the timeNeverUpload payslips, letters of offer, pay reviews, and any other relevant documents (Optional) Drop files here or Select files Max. file size: 8 MB, Max. files: 10.
