Online Application Form For Employers

Please find below our online application form for new employers. The below will give us everything we need to be able to provide you with quality workers. Please note, if yu do not want to fill out the below form, you can call us on (09) 377 9947 and one of our team members will be able to help you straight away.

* Mandatory field

Full name of Applicant(s): *
Phone Number:
(Jointly & severally if joint applicant):
Street Address: *
Postal Address: *
Business Telephone: *
Facsimile Number:
Mobile Number:
E-mail address:
Type of Business: *	Please select one... Company Sole Trader Partnership other
Principal/s/ or Director/s: (Please Supply)
Address:
Phone Numbers:
Date Trading Commenced:
Capital (if Company):
Amount Paid Up (if Company):
Business Premises: *	(Please select) Owned Leased
Anticipated Trading Volume p/month:
Bank: *
Branch: *
Contact for Accounts: *
Phone No: *
Accountants Details:
Accountants Name:
Full Name(s):
Address:
Phone Number:
Solicitors Details:
Solicitors:
Full Name(s):
Address:
Phone Number:
Trade References: (not banks, accountants, solicitors)
Name: *
Phone Number:*
Name: *
Phone Number: *
Name: *
Phone Number: *
Credit Authorisation:
Our Company/Sole Trader (Company Name)*
NZ LABOUR HIRE LIMITED is authorised to obtain credit information about the customer, its principals and directors (if any) from credit referees and credit reference agencies and is also authorised to disclose credit information (including payment defaults) to credit reference and collection agencies or other persons seeking credit references. The credit information is collected to assist NZ LABOUR HIRE LIMITED to ascertain the customer's credit status. Failure to provide the requested information may result in credit being refused. Under the Privacy Act 1993 individuals have right of access to and collection of personal information. This authority is given by the customer and all the principals and directors of the customer.
Signed by Director and Authorised Signatory *
The person applying has read and agrees to the Terms and Conditions and certifies all information supplied is true and correct.   Personal Guarantee must be completed. NZLH Management reserves the right to decline a Credit Account if the personal guarantee is not completed. Any concerns please contact Our Offices (09) 377 9947- click here to download and print
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