Do you have any criminal convictions (not including any concealed under the Clean Slate Act) or are you awaiting the hearing of charges in a civil or criminal court of law?✱

Have you ever been declared bankrupt?✱

Have you ever been dismissed from any employment?✱

Are you currently an elected official or have you held a role with a government entity or regulator in the past 3 years? https://assets.kpmg.com/content/dam/kpmg/nz/pdf/2023/09/government-entities-and-regulators.pdf✱

If yes to the question above, and the role held was with a government entity, please advise whether it was a senior or sensitive position✱

Are there any other factors that would affect your ability to accept this or any other position with KPMG? (e.g. Restraint of Trade)✱

Are you currently located in New Zealand?✱

If not, where is your current location?✱

To be legally entitled to work in New Zealand, you should be a citizen or permanent resident of New Zealand or hold a current work visa. Please select the appropriate answer relevant to your current situation.✱

What is your contractual notice period?✱

This information is being collected to enable KPMG to assess your suitability for this position and will be used for this purpose only. If you fail or refuse to provide the information requested, then your application may be rejected by KPMG. If you provide false or inaccurate information, this will be considered serious misconduct and may result in dismissal, should you be employed by KPMG. Please also note that any false information given regarding any disabilities or medical conditions, may result in your loss of entitlement to compensation from ACC / Health and Disability Insurance. Information on ethnicity and gender will be used for Equal Employment Opportunities (EEO) statistical reporting only.✱

I declare that all representations, whether oral or in writing, made by me when applying for this position are true and correct. I have not deliberately failed to disclose any matter that may materially influence KPMG’s decision to employ me. I understand that if the firm’s pre-selection checks uncover any adverse information or if false information is given or material suppressed by me, I may not be offered employment, or if a contract has been offered, it may be withdrawn.✱

Declaration: You have answered the above questions in relation to your application for employment, to assist KPMG to assess your suitability for this position. The questions posed are relevant to the nature and type of work undertaken in KPMG and comply with the rights and obligations under legislation, including the Immigration Act 1987, the Health and Safety in Employment Act 1992, the Health & Safety in Employment Amendment Act 2002, and the Human Rights Act 1993. The information will be used by KPMG to assess you for this purpose only. Should you be unsuccessful, we shall retain this information in accordance with the Privacy Act 2020.✱

Gender✱

Which ethnicity do you identify with primarily?✱

Do you identify with a secondary or more specific ethnicity? If so, please specify here.

Do you identify with a third ethnicity? If so, please specify below.

KPMG values diversity in the workforce and we encourage candidates from diverse backgrounds to apply for roles, including individuals with a disability, additional mental health needs, chronic health conditions or who identify as neurodivergent. Do you anticipate that we will need to adjust our recruitment process to make it more accessible for you (this could include online testing, telephone interview, face to face interview and written assessment)?✱