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* 1. Name

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* 2. Workplace

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* 3. What is your salary classification? (This can be found on your pay slip)

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* 4. What is your ordinary pay rate (This can be found on your pay slip)

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* 5. How long have you been employed at Allity?

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* 6. Do you have copies of recent payslips that the HSU can provide to Allity as proof of underpayment, if required.

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* 7. Any other comments?

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