Employee Details Change Advice

							                                                                             EMPLOYEE DETAILS - CHANGE ADVICE
          EMPLOYEE ID                                                                             CREW ID


EMPLOYEE DETAILS
                Surname                                                                        Given Names
                     Title           Mr        Ms       Miss           Mrs            Dr              Birth Date

                             Please complete the following section/s applicable to your particular circumstances.
NAME CHANGE                                                                                                                                 Proof Attached
       Surname                                                                                 Given Names
                 Title          Mr        Ms        Miss        Mrs          Dr
  Reason (Documentary evidence must be attached)                  Deed Poll                Marriage         Other

ADDRESS CHANGE
                                                                                  New Postal Address
   New Residential
                                                                                     (If different from
         Address
                                                    Post Code                               residential)                              Post Code

PHONE NUMBER CHANGE OR ADDITION
   New Numbers Home                                                    Business                                      Mobile

EMERGENCY CONTACT CHANGE (If more than one contact to be recorded please attach details & order of Priority, eg. 1, 2 etc
       Surname                                                          Given Names
            Address                                                                                                 Home
                                                                                                        Contact
                                                                                                                    Business
                                                                                                         Phone
          Post Code                                 Priority                                                        Mobile
         Relationship           Spouse                         Other

ADDITIONAL QUALIFICATIONS (Documentary evidence must be attached)                                                                           Proof Attached
      Qualification
          Level (eg                                                                         Date Commenced
  Degree, Diploma)                                                                           Date Completed
           Institution

ADDITION/DELETION OF PROFESSIONAL MEMBERSHIP                                                                                               Proof Attached
      Organisation                                                                            Effective Date       Joined     /   /      Resigned     /       /

ADDITION/DELETION OF SKILLS/LICENCES AND REGISTRATION                                                                                       Proof Attached
            Title                                                                                       Level
          Licence/
                                                                                             Date Acquired
   Registration No
  Date Last Tested                                                                             Expiry Date

EMPLOYEE AUTHORISATION
       Signature                                                                                         Date

                                                                 OFFICE USE ONLY
        Processed By                                                     /        /            Checked By                                         /       /
   ESP Processed                                                                                         Date




HR004                                                                    Page 1 of 1                                                              February 2003