Employee Personal Information Form Question Title * 1. Your Role Kaitiaki Matua Project Manager Admin Support and Financial Manager Communications and Digital Resource Manager Question Title * 2. Full Name Question Title * 3. Date of Birth Date Date Question Title * 4. Address Question Title * 5. Phone Number Question Title * 6. Email Address Question Title * 7. Emergency Contacts - Please list two people we can call on in the case of an emergency relating to you Emergency Contact 1 - Name, phone number, relationship Emergency Contact 2 - Name, phone number, relationship Question Title * 8. Bank Account Details - Name and account number MUST BE CORRECT Bank Account Name Account Number Question Title * 9. IRD Number Question Title * 10. Relevant medical information that may affect your ability to do the work required (refer to your Job Description). Question Title * 11. If your medical history includes seizures, asthma attacks, diabetic episodes, allergic reactions or any other regular medical event, tell us a bit about how it is brought on and how others can best respond to you experiencing this. Question Title * 12. Select the iwi-ō-Mauao you affiliate to. Ngāti Ranginui Ngāti Pūkenga Waitaha-ā-Hei Ngāi Te Rangi Question Title * 13. List your hapū and marae of these iwi-ō-Mauao Question Title * 14. List any other iwi affiliations you have outside of the Tauranga Moana area Done
