Transcription of application for financial hardship - Hesta
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Example: bankruptcy
application for financial hardship - Hesta
Step 1 Member detailsComplete all details to help us identify your number (business hours): Telephone number (after hours): Telephone number (mobile): Email: Are you currently employed? Yes NoName of your current or last employer who contributed to Hesta :Date you left this employer:D D M M Y Y Y Y Is your spouse: Employed? Self-employed? Unemployed?We are authorised by law to ask for your Tax File Number (TFN). You do not have to provide it but if you don t, you may end up paying more tax than you need to. To find out more about how your TFN is used, disclosed or what may happen if you don t provide it go to our website My TFN is:My Centrelink Reference Number is: Age of financial dependants (dependants means anyone who is whole or in part financially dependent on you your spouse or children)Relationship Age Member name: Member number: Date of birth: D D M M Y Y Y Y Complete in pen using CAPITAL letters.
severe financial hardship. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular.
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