PERSONAL PROFILE- CANADA

Please complete this form in CAPITAL LETTERS and as clearly as possible. Once completed, please email it to:
CAHumanResources@FDMGroup.com.
Please note:
All information stated on this form will be treated in strict confidence and will be held in secure personnel records.
Any incorrect or false information provided may result in a delay in your salary payment.

PERSONAL INFORMATION:
Salutation
Known As
(e.g. Mr, Ms, Mx etc.)

Legal First Name Legal Surname

Date of Birth Primary

(MM/DD/YYYY) Language

Social Insurance
Number (SIN)

CONTACT DETAILS:
Home Telephone

Mobile Telephone

Personal Email

ADDRESS:

Address Street & City

Unit #

Province Postcode

EMERGENCY CONTACT:
Name Relationship
Work Telephone
Home Address Home Telephone
Mobile
Telephone
HOW DID YOU FIND OUT ABOUT FDM?

If referred, please state name

SIGNED DATE

FOR FDM INTERNAL USE ONLY

Hire Date
EE Number
(MM/DD/YYYY)

Province of Employment Cost Centre