Employee Number

Surname

First NAme

Manager Name

Title

Hr Comments

Previous Year Base Salary

Previous Year Super %

Previous Year Super Amount

Extra Super %

Extra Super Amount

Previous Year TEC

Bonus Type

Previous Year Bonus/STIP Amount

Proposed Increase %

Proposed $ Increase

Proposed Bonus/STIP Amount

Proposed NEW TEC

Manager Comments

JRV or Allowance

Higher Duties Allownace

Team Leader Allowance

Other Allowances

General Managers Comments

Letter Classification

State

Site

Senior Manager

Action