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Personal Details

Title:*
First Name:*
Last Name:*
Preferred Name:
Date of Birth:*
Spouse (Full Name):
Tax File Number:
Do you have a HECS/HELP debt?*
yesno
Do you have a SFSS debt?*
yesno
Home Address:*
Postal address: (Blank if same as home address)
Contact Numbers - at least one required:
Mobile
Work
Home

Your Contract Details

Agency:*
Account Manager:*
Agency Phone:*
Agency Email:*
Primary Rate:*
Where will work be performed?*

Bank Account Details

At this stage we only require your primary bank account details. If you require your pay split to other account please contact your payroll administrator at Callaghans

Name Account Held In:*
Financial Institution:*
BSB Number:*
no dashes or space
Account Number:*
no dashes or space

Superannuation Details

We recommend you speak to one of our Financial Planners before making a decision about where your superannuation is contributed.

Superannuation Fund:
Fund Phone Number:
Account Name:
Member Number:
Salary Sacrifice
% OR $ per pay period
Sacrifice amount is over and above the standard SGC amount (9.5%)

Financial Planning

I would like to make an appointment as I would like some financial planning advice (e.g. Income protection & Life insurance)
YesNo


Other Packaging Options

Please Select Other packaging options:
I will be Packaging a vehicle I will be packaging Living away From Home allowance