EMPLOYEE APPLICATION. (Please Print) Last Name First Middle Xxxxxx & Xx. X.X. # & X.X.Xxx Xxxx, Town. Country, Province. Postal Code. Telephone No. Name of Hotel/Motel/Boarding House City, Town. Telephone No. Manager's Name. Income Tax Assessment N.B. Hospital/Medical Card Property Tax Assessment Employment Insurance Drivers Licence WORK REFERRAL: Employer Work Location (Plant) _ First Day Work Craft Skill (yy/mm/dd) I hereby swear the above information to be true and correct and apply for subsistence having met the above qualifications. I understand that the information given is subject to verification and that any subsistence paid based on false information is subject to recovery. Signature of Applicant: Date: Union Business Manager/Designee (Print) Local Signature of Union Business Manager Date (Attach Signed Copies) YES NO Company Name Date Company Representative (Print) Signature of Representative. APPENDIX E
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
EMPLOYEE APPLICATION. (Please Print) Last Name First Middle Xxxxxx & Xx. X.X. # & X.X.Xxx XxxxCity, Town. Country, Province. Postal Code. Telephone No. Name of Hotel/Motel/Boarding House City, Town. Telephone No. Manager's Name. Income Tax Assessment N.B. Hospital/Medical Card Property Tax Assessment Employment Insurance Drivers Licence WORK REFERRAL: Employer Work Location (Plant) _ First Day Work Craft Skill (yy/mm/dd) I hereby swear the above information to be true and correct and apply for subsistence having met the above qualifications. I understand that the information given is subject to verification and that any subsistence paid based on false information is subject to recovery. Signature of Applicant: Date: Union Business Manager/Designee (Print) Local Signature of Union Business Manager Date (Attach Signed Copies) YES NO Company Name Date Company Representative (Print) Signature of Representative. APPENDIX E
Appears in 1 contract
Samples: Collective Bargaining Agreement