Staff record form
Surname: Black
Given name/s: Pierre
Date of Birth: 01/12/92
Gender: Male
Address: 3/27 Fitzpatrick Street Joondalup 6555
Telephone: 9555 2674
Languages Spoken: English and Mandarin
Marital Status: Single
Drivers Licence: Yes:
No:
If yes, licence number: 4222398
Own Vehicle: Yes:
No:
Current Position Held: Child Care Assistant (Team Leader)
No:
If yes, licence number: 4222398
Own Vehicle: Yes:
No:
Current Position Held: Child Care Assistant (Team Leader)
| Name of Qualification | Institution | Date Awarded |
|---|---|---|
| Year | Duration | Position Held | Place of Employment |
|---|---|---|---|
| Subject | Institution | Study Times |
|---|---|---|
| Cert III Community Services, Children’s Services | Twin Peaks Institute of TAFE | Flexible - Online |
Emergency Contact
Name: Diedre Black Relationship: Mother Phone: 9555 2674 Name of Doctor: Dr B. Tham Phone: 9555 3764Medical Examination (date received): 04/05/08 Chest X-ray (date received): 04/05/08
Police Clearance Received (date): 08/05/08
First Aid Certificate (date): 04/02/11
Employment Commencement Date: 06/05/08 Employment Termination Date:
Employment Commencement Date: 06/05/08 Employment Termination Date:
Tax File Number: 943 001 729
Tax Code: General Exemption
No General Exemption
Westscheme Number: 40159
Hourly Rate: $
$
$
Increment Date:
General Exemption
No General Exemption
Westscheme Number: 40159
Hourly Rate: $
$
$
Increment Date: