Personal Details

First Name:*
Last Name:*
Preferred Name:
Date of Birth:*
Spouse (Full Name):
Your TFN - this will be encrypted prior to transmission to us: (Required)
Do you have a HECS/HELP debt?*
Do you have a SFSS debt?*
Home Address:*
Address Line 1:
Address Line 2:
Address Line 3:
Postal address: (Blank if same as home address)
Postal Address Line 1:
Postal Address Line 2:
Postal Address Line 3:
Contact Numbers - at least one required:

Your Contract Details

Agency Contact/Account Manager:*
Agency Phone:*
Agency Contact/Account Manager Email:*
Primary Rate:*
State 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)

Other Packaging Options

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