Registration Form You must have the right to work in New Zealand prior to registering with our agency. For advice on obtaining New Zealand work or residence permits visit immigration.govt.nz. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Mobile phone number*Email Address* Date of Birth* Upload a Photo HereNZ Drivers License or Valid PassportNew Zealand Bank Account NumberIRD Number and IRD Tax Code*Availability* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Are there any restrictions to the hours you can work?*Do you have New Zealand Residence?*YesNoIf NO, do you have a current work Visa?YesNoExpiry of Visa or Permit*Upload copy of Visa HERE*Do you have a criminal conviction(s)?*YesNoAre you waiting for an upcoming court hearing/trial?*YesNoIf YES, please comment below when hearing to commenceDo you have any disability, strain, injury or discomfort (past or present) that could be aggravated in a specifc work situation and endanger your health?*Desired Physical Location to Work* Wellington CBD Wellington Region - Wellington suburbs, Hutt Valley, Porirua Wellington Wider Region Others: Please comment below How did you hear about The Temp Centre and Recruitment Company?*RefereesMinimum of 2 references, must have a name of referee, Company, Job title, Contact phone number and email address of the referee. Third Reference is optionalReferee Name*Business Name*Phone*Email* Second RefereeReferee NameReferee Name*Business Name*Phone*Email* Third Referee (optional)Referee NameBusiness NamePhoneEmail Upload CV, Cover Letter, Qualifications & Certificates* Drop files here or Declaration and Authorisation (i) I authorise you to disclose, with my knowledge, confidential information which you hold about me to any potential employer and agree that The Temp Centre and Recruitment Company (Sencity investment Ltd), will not be held liable should confidential information pass into the possession of persons not intended by me to receive such information. (ii) I certify that all information I have provided to you is true, accurate and complete. (iii) I understand that all information provided about me to you will be held by you and used for the purpose of evaluating my qualifications, experience and suitability for permanent and/or temporary employment with any other employer. (iv) I authorise you to contact the persons I have named and seek further information from them which may be relevant to my application for employment. Without limiting the generality of this authorisation, I authorise you to obtain any other information held by credit reference agencies or security companies. Subscribe to our newsletters Yes, please subscribe me to your site!NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.