APPLICATION FOR EMPLOYMENT

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EMERGENCY CONTACT

What are your income expectations?

DETAILS OF EMPLOYMENT

**Please provide details below ( at least the last three positions held )


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REFEREES / REFERENCE NOMINEES

** WORK references ONLY (not family members or friends)

Must supply MINIMUM OF TWO names and companies who could speak on your behalf

Occupational Licences & Certificates

Please indicate your licences/training (please provide copy/s with your application)

First Aid

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Drivers Licence

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Qualifications

** Please advise your qualifications and provide certificates where possible**

PRIVACY & PERSONAL INFORMATION CONSENT

Please complete the following consent statement

consent to the collection of necessary personal information, including age, gender, address details, and the disclosure of information to third parties, medical practitioners and psychological service providers.

I agree to undertake all medical tests and examinations as required to ensure my capability to perform the tasks required of the position for which I have applied. 

I hereby declare that the information I have provided in this form is true and accurate and I authorise the company to verify any information if required. Any false or misleading information may result in the termination of my position / application.

I have read and understood my rights in respect of access to and collection of my personal information.

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