Omnia Application Forms

Code of Ethics

We, the undersigned, hereinafter referred to as "Client", hereby agree to the following Code of Ethics.

The Omnia Services will never be used alone in making a hire/no hire decision since the Omnia Services are designed to complement the interview, reference checks, and other sound hiring practices;
The Omnia Services will not be used as the sole or principal cause or excuse for not hiring, transferring, or promoting candidates for hire, termination or cessation of employment;
The Omnia Services will be treated as confidential material, and as such will not be further analysed, interpreted, discussed or revealed except with the Subject of the Omnia Services and/or with other Client employees on a "need to know" basis. Client accepts full responsibility for the confidentiality of The Omnia Services sent to it via fax, email or post.
Client is responsible for determining and reviewing its own job requirements, qualifications, selection procedures and job-relatedness, and employment procedures and decisions to ensure compliance with all requirements of law.
Client is responsible for adhering to the requirements pertaining to the NZ Privacy Act (1993).

This Code of Ethics shall remain in effect with regard to all the Omnia Services furnished to Client. Client shall indemnify and hold OMNIA harmless from liability, damages and expense for any claim of matter deriving from non-compliance with the Code of Ethics.

Fees and Payment

The client must complete the attached Credit Application and Client Profile.
I/we the client agree to pay for services with seven (7) days of an invoice being rendered either by cheque, bankdraft, direct credit or cash.

Identification

Procedure
Client hereby names the following as it's only Authorised User(s):

User 1:		Title:
User 2:		Title:

Company Details

Company Name:
Street Address:
Postal Address:
City:
Country:
Post Office:		Post Code:
Phone:
Fax:
Mobile:
Email:

How did you hear about the Omnia Profile:

If other, please enter further details:

Client Profile

Company Name:

1. Size of organisation / employees covered by this agreement:
	1-5		6-10		7-15		16-25		26-50		>50

2. Number of employees hired in past 12 months:

3. Number of Employees terminated / resigned in the past 12 months:

4. How many branches do you have:

5. Number of years in business:

6. Describe your product / service:

7. Our company is:
	Public Registered Company	Private Registered Company
	Sole Trader / Partnership	Government / Public Body

8. Our clients are:
	Other businesses	Consumers
	Government Departments	Public Bodies
	Non-profit Organisations

9. Our product / service is:
	Intangible		Tangible

10. Our biggest hiring challenge is:

11. Industry (please tick the appropriate classification):
	Agricultural	Accounting / Legal
	Automotive	Banking / Finance
	Broadcasting / Media	Construction
	Consulting	Distribution
	Electronics	Health / Dental / Hospitals
	Hospitality / Hotels	Information Technology
	Insurance Agency	Insurance Company
	Manufacturing - Heavy	Manufacturing - Light
	PR / Advertising	Printing
	Promotional Products	Property Management
	Retail	Recruiting / Staffing
	Sales - Other	Service - Other
	Theatre / Television

12. Our website is:

13. Our company email is:

14. Do you have a parent company:

Yes

If yes, please state parent company:

Credit Application

Application Details

Business Legal Name:
Trading As:
Street Address:
Postal Address:
Telephone Number:
Fax Number:
Address of Registered Office:
Company's Registered Number:

Type of Business:
	Limited Company		Partnership		Sole Trader		Government

Number of Years in Business:

Accounts Payable Contact:

Order Number Required:
	Yes		No

Bankers' Name:
Bankers' Address:

Solicitors Name:
Solicitors Address:

Accountants Name:
Accountants Address:

Principal Shareholder or Partners:
Name:
Address:
Name:
Address:
Name:
Address:

Trade References: Please give 3 names and addresses (not banks, finance companies or utility providers)
Name:
Address:
Name:
Address:
Name:
Address:

Expected Monthly Expenditure:

Authorise

I/We represent (applicant) and hereby undertake to comply with The Omnia Group Limited Terms and Conditions which are SEVEN (7) DAYS NET. I/We authorise any person or company to provide you with such information as you may require in response to your credit and / or employment enquiries. I/We authorise you to furnish to any third party, details of this application and any subsequent dealings that I/We may have with you as a result of this application and any subsequent dealings that I/We may have with you as a result of this application being actioned by you.

To the best of my knowledge and belief the above information is correct. The Omnia Group Limited reserves the right to suspend credit granted, as it may deem necessary. Interest on overdue accounts will be charged at the rate of 1.5% per month and you will be liable for all legal and any other costs incurred by us in collecting or attempting to collect any amounts outstanding.

Privacy Act 1993: The Client hereby authorises any person or company to provide Omnia with such information as Omnia may required in response to the Client's credit enquiries or Omnia's provision of credit to the client.

The Information above will be used by Omnia for the purpose of approving credit and compiling of client listings.

Name:

Designation:

Date:

	I accept that to the best of my knowledge and belief the above information is correct.
	Submit

Contact Details

Omnia Application Forms

Code of Ethics

Fees and Payment

Identification

Credit Application