Sydney Trains Group Member Registration

Sydney Trains Registrations

Step 1 of 2

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FORM COMPLETION

The person completing this form is

A group member

someone else, completing on behalf of a group member

PERSONAL DETAILS OF PERSON COMPLETING THIS FORM

Title

Mrs

Miss

Other

Other Title

Name(Required)

First Last

Email(Required)

GROUP MEMBER DETAILS

Title

Mrs

Miss

Other

Other Title

Group Member Name(Required)

First Last

Email(Required)

Phone Number(Required)

Alternate Phone Number

Post Address(Required)

Street Address Address Line 2 Suburb/Town State / Province / Region Postcode/ ZIP Country

DOCUMENTARY EVIDENCE

You must take reasonable steps to provide the following information. Please attach further sheets of paper if you need more space. Please also attach any supporting documents you want the parties to the class action to take into account

Date your employment commenced with Sydney Trains?(Required)

MM slash DD slash YYYY

Sydney Trains Employee ID (if known)

List of positions held during the course of your employment with the Respondent?(Required)

What hours do you say that you were required to, and did, work, during your employment with the Respondent? If you have documentary records of this, please attach that material.(Required)

Max. file size: 8 MB.

Date your employment with the Respondent ended (if applicable)?

MM slash DD slash YYYY

I have attached documentary evidence in support of the information herein

Yes

EXECUTION

Date of signing(Required)

Day

Month

Year

Your Name

First Last

Signed by, or on behalf of and with the authority of, the Group Member (as specified above)(Required)