Add/Update a Staff Member - Waitaha Primary Health

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Add/Update a Staff Member

Practice Name*
Requester/Your Email Address*
Job Type*
Title*
First Names*
Last Name*
Email*
Registration Number
Registration Expiry Date
DD slash MM slash YYYY
Full time equivalence (FTE)*
Job Title*
Start Date*
DD slash MM slash YYYY
Finish Date
DD slash MM slash YYYY

Leave blank if open ended
* This information is required to submit this form. Thank you.
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