Employment Application Form
This Application for Employment form (and any documents you supply with it) is a source of information which will be used to determine your suitability for the position for which you are applying. Failure to supply the requested information may prejudice Nauhria Precasts’ ability to assess your suitability.
If you are successful with your application, the information provided will form part of Nauhria Precast personnel records. Information relating to unsuccessful applicants will be destroyed.
This statement is made under the Privacy Act 1993.
Position applied for:
Job Reference: Name & Contact Details:
Applicants First Name*
Applicants Surname / Family Name*
Applicants Previous / Maiden Name (if applicable)
Phone Number (Home)
Phone Number (Work)
Email Address * Elegibility for Employment in NZ:
Are you currently legally entitled to work in New Zealand ?
If "YES", does your legal entitlement to work arise from:
NZ Work Permit - Starting date:
NZ Work Permit - Ending Date:
Have you or a family member, previously or currently, worked or contracted for any of the Nauhria Group Companies ?
If "YES", Please provide the details of previous or current employment for yourself or all applicable family members :
Please attach evidence of your legal entitlement to work in NZ
Do you have any criminal convictions (not including any concealed under the Criminal Records (Clean Slate) Act 2004 e.g. Convictions over 7 years old not resulting in custodial sentence etc) ?
Are you suffering from or have you ever suffered from an injury or medical condition caused by gradual process, disease or infection, e.g. overuse syndrome (OOS), hearing loss, back-strain or sensitivity to chemicals which this job may aggravate or contribute to ?
Attach your CV to application
Through submission of this employment application, I declare that to the best of my knowledge the information I have provided in this application form and in the accompanying Curriculum Vitae or other attachments is complete and correct.
I understand that if any false or deliberately misleading information is given, or any material facts suppressed, I may not be accepted, or if I am employed, I may be summarily dismissed.
I authorise Nauhria to seek verbal or written information about me on a confidential basis from the referees I have nominated, and consent to verification with Imigration NZ, Acc and other regulatory bodies for my elegibility to work /. reside in New Zealand and authorise the information to be released to the Nauhria Group of companies for the purposes of assessing my suitability for the position I am applying for. I understand that the information supplied by the referees will be supplied in confidence as evaluative material and will not be disclosed to me. If my application is successful, I understand the information will form part of Nauhria Groups personnel records.
Information relating to unsuccessful applicants will be destroyed.
* Notes for Applicants If your application is successful, you may be required to provide: Your Birth Certificate or passport, documentation verifying your qualificiations relevant to the position. Your IRD number and bank account details for salary credit purposes. If applicable your certificate of NZ Citizenship, permanent residence permit, or work permit. Nauhria Precast undertakes to collect, use and disclose personal information consistent with its purpose and functions in accordance with the provisions of the Privacy Act 1993. Submit Application