Sign Up | Rayinc

registration form

Contractor Name

NZ Business No.(if any)

IRD No.

GST No.(if any)

Address

City

Zip Code

Business Type

Phone/ cell No.

Email id

Driving Licence No if not available, please put any numbers

Licence Type

Licence Class

Version

Expiry date of Licence

Vehicle Registration No.

Visa no type visa no. 123456 if your visa type is Resident / Citizen to allow signing up

Visa Type

Visa Expiry Date. Visa expiry date 23/03/2027 type any future date to go further in sign up

Reference full Name 1

Reference phone no.1

Reference full Name 2

Reference phone no.2

Job Type

Pre employement test?

Drug test?

Credit check?

Criminal Record

Upload CV DL, passport if migrant, visa copy, & educational documents in one PDF file and file must be less than 4 mb if not possible upload it in other documents section

Upload Photo DL, passport if migrant, visa copy, & educational documents in one PDF file and file must be less than 4 mb if not possible upload it in other documents section

Contractor/Agreement Documents leave it blank if not available

Other documents DL, passport if migrant, visa copy, & educational documents in one PDF file and file must be less than 7 mb if not possible upload it in other documents section

Company Name

Company email

NZ Business No.

IRD No.

GST No.

Address

City

Zipcode

Phone No.

Business type

Staff Booking and Correspondence on which email ?

Facility Manager's email

Phone No.

Clinical Manager's email

Phone No.

Nurse Station’s email

Phone No.

Accounts department’s email

Account Department phone no.

Other Documents DL, passport if migrant, visa copy, & educational documents in one PDF file and file must be less than 7 mb if not possible upload it in other documents section

Company/Agreement Document leave it blank if not available

Director’s Address with phone numbers

Director's Name

Director's Email

Zip code

Director’s Address with phone numbers

Add Director