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(CONFIDENTIAL)
When Printing please makes sure
your page size is set to A4.
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| PERSONAL HISTORY |
SURNAME_______________________________
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GIVEN NAMES______________________________ |
ADDRESS_______________________________
_______________________________________
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POST
CODE_______________________________ |
| CONTACT
PHONE NUMBER_________________ |
DATE
OF BIRTH______________________________
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| Circle
what is applicable. |
| Are
you permitted to work in Australia?
YES
NO
Are you on
a Disability Support Pension?
YES
NO
If “yes” please
proceed. If “no”
skip to section on Education.
What is your
Disability Support Pension Number? ______________________________________
What is the
nature of your disability? ________________________________________________
Marital Status:
SINGLE
MARRIED DEFACTO
Do you have
any dependents? If
yes, how many? YES
number:_______ NO
Have
you registered with an employment service?
YES NO
If
“yes”….. Name
of Employment Service:
_______________________________________________________________________________
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| EDUCATION/TRAINING COURSES |
| PERIOD |
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| FROM |
TO |
TYPE
OF COURSE
(if school, write what level you attained e.g. Yr 10) |
NAME
OF SCHOOL/COLLEGE/TAFE |
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| EMPLOYMENT HISTORY/VOCATIONAL EXPERIENCE |
Have you had any previous experience working with machinery?
YES
NO
If “yes”, what type of machinery have you worked with?
________________________________________________________________________________
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| PERIOD |
Please
give a brief summary of your past work experience. |
| FROM |
TO |
EMPLOYER |
TYPE
OF WORK CONDUCTED |
REASON
FOR LEAVING |
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| REFERENCES
(PREVIOUS SUPERVISORS, TEACHERS ETC) |
| NAME
& ORGANISATION |
POSITION |
CONTACT
NUMBER |
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| EMERGENCY
CONTACT |
NAME:_________________________________________________________________
ADDRESS: _____________________________________________________________
PHONE:________________________________________________________________
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Please
indicate, by ticking in the box, which Branch you are interested
in working at.
You may select more than one. |
| Pak-it-Rite (Castle Hill) |
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BJ’s (Blacktown) |
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Pak-it-Rite (Auburn)
Aussie Sweets ( Auburn) |
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| Enrico’s (Wetherill Park) |
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Filpac
(Mount Druitt) |
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CPS
(Seven Hills) |
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Signature
of Applicant:_________________________________________________
Available to Commence (Date): __________________________________________
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Last Updated ( 25 February 2008 )
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