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First name

Last name

Email

Phone

Mobile

Please provide details of your right to work in New Zealand (Citizen, permanent resident, resident, visa (please give specific details)) Please note, if you successfully reach the interview stage, you'll be required to provide an original copy of a personal identification document that confirms your eligibility to Work in NZ.

Which role are you most interested in being considered for?Test Anaylst
Senior Test Analyst
Test Lead
Test Manager
Senior Test Manager
Automation Engineer
Senior Automation Engineer
Technical Test Lead'
Performance Engineer
Senior Performance Engineer

Which Assurity Branch would you most like to join?Auckland
Wellington
Christchurch
Manila

What are your salary expectations?

If you are offered a role with Assurity, how much notice would you need before commencing employment with us?

Do you have, or have you ever had, a medical condition caused by injury, illness (mental or physical), disability or gradual process that the tasks of the job may aggravate or contribute to, or that may affect your ability to carry out the work of the position applied for?

Assurity requires you to disclose all convictions unless they are covered by the Criminal Records (Clean Slate Act) 2004. Please visit the Ministry of Justice website for further guidance. Do you have any criminal convictions or court action pending? Please note, if you are successful in being offered employment at Assurity, it will be subject to a clear Ministry of Justice check.

If you answered yes to the above questions, please provide us with details:

I declare that the answers to the questions in this application are true and correct. I understand that if any of the information is proved to be false or misleading or any relevant information is left out on this form or any other supporting documents then this may lead to my application being rejected or if appointed to a role, then I may be instantly dismissed. Under the 1993 Privacy Act, you are entitled to request access to and/or correct any personal information held about you by our organisation. By writing your name below, you are confirming that you understand, and agree with the information and requirements relating to my application.

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