12) PRIVACY OF INFORMATION STATEMENT (PRIVACY ACT 1993) AND DECLARATION The information you supply in this form (or in other documents supplied with this application form) is collected for the sole purpose of determining your suitability for employment to the position you have applied for above. The information will not be used for any other purpose. In line with Fire and Emergency New Zealand policy, if you are appointed to this position, selection information about yourself may be supplied to unsuccessful internal candidates who request a review of appointment. Please consider the declarations below and sign accordingly. I agree to provide the above information for use by the Fire and Emergency New Zealand in making an employment decision and for personnel use in accordance with the Privacy Act, should I be appointed to the position. I DECLARE THAT: The contents of my application (including supporting documents) are true and accurate to the best of my knowledge; I have not withheld any information likely to affect the decision to employ me; If I have been unclear about whether or not to provide information, I have provided that information; To the best of my knowledge, the answers to the questions on this form are correct; I understand that if any false information is given, or any material fact is not provided in this form, I may not be employed, or may result in disciplinary action up to and including dismissal from my position in Fire and Emergency New Zealand; and I understand that any false information given on this form may result in my loss of entitlement for any compensation from Accident Insurance. I hereby authorise the Fire and Emergency New Zealand to obtain such information as they may require from any former employers, existing Fire Service or Fire Brigade files. My signature on this application hereby authorises such former employers to provide to Fire and Emergency New Zealand such information as they may request. NOTE: For external applicants be contacted before Fire and Emergency contacts your referees. – you’ll 13) I AGREE WITH THE PRIVACY STATEMENT AND THE DECLARATION AS DETAILED ABOVE SIGNED: NAME: DATE:
12) PRIVACY OF INFORMATION STATEMENT (PRIVACY ACT 1993) AND DECLARATION The information you supply in this form (or in other documents supplied with this application form) is collected for the sole purpose of determining your suitability for employment to the position you have applied for above. The information will not be used for any other purpose. In line with Fire and Emergency New Zealand policy, if you are appointed to this position, selection information about yourself may be supplied to unsuccessful internal candidates who request a review of appointment. Please consider the declarations below and sign accordingly. I agree to provide the above information for use by the Fire and Emergency New Zealand in making an employment decision and for personnel use in accordance with the Privacy Act, should I be appointed to the position. I DECLARE THAT: The contents of my application (including supporting documents) are true and accurate to the best of my knowledge; I have not withheld any information likely to affect the decision to employ me; If I have been unclear about whether or not to provide information, I have provided that information; To the best of my knowledge, the answers to the questions on this form are correct; I understand that if any false information is given, or any material fact is not provided in this form, I may not be employed, or may result in disciplinary action up to and including dismissal from my position in Fire and Emergency New Zealand; and I understand that any false information given on this form may result in my loss of entitlement for any compensation from Accident Insurance. I hereby authorise the Fire and Emergency New Zealand to obtain such information as they may require from any former employers, existing Fire Service or Fire Brigade files. My signature on this application hereby authorises such former employers to provide to Fire and Emergency New Zealand such information as they may request. NOTE: For external applicants – you’ll be contacted before Fire and Emergency contacts your referees. 13) I AGREE WITH THE PRIVACY STATEMENT AND THE DECLARATION AS DETAILED ABOVE SIGNED: NAME: DATE:
042-2018-application-form.docx