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Subject

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APPLICATION FORM - Driver / Removalist & Removalsts Off-side

Please fill in all the mandatory fields (*)

Position:

Personal Details

First Name*:
Last Name*:
Email adress*:
DOB:
Adress*:
Suburb*:
State*:
Post Code*:
Phone*:
What is your status in Australia?:
If other, please state:
Note: If you are not an Australian citizen or Permanent resident, you will be required to bring proof that you are legally entitled to work in Australia
Do you have an Australian Business Number?: Yes No
Have you ever been convicted of a criminal offence or are you currently facing charges yet to be determined for any offence (including Road Traffic Act offences)?*: Yes No
If yes, give all details including details of convictions:

Health and medical

Have you ever suffered an injury to your back or neck?*: Yes No
If yes, give all details:
Do you have any problems lifting heavy items?*: Yes No
Have you ever suffered an injury or illness which affected your ability to work*: Yes No
If yes, give all details:
Do you have any health or physical problems (including mental)?*: Yes No
If yes, give all details:

Drivers Licence & Driving History

Class of licence held*:
Type*:
Driver licence number*:
State issued in*:
Country issued in*:
Expiry*:
How long have you held your licence(in months)?:
How long have you been driving?:
If you have truck licence, how long have you been driving trucks?:
Have you lost your licence in the last 3 years?*: Yes No
If yes why:
Have you ever been involved in a motor vehicle accident where you were at fault?*: Yes No
If yes give details:

Education

Qualification, Trade or last year of school attended:

Employment History

Relevent experience

Do you have experience as a removalist?*: Yes No
If yes, give details of work, duration, and position:
Can you navigate using a Street directory?*: Yes No
Do you know how to use a trolley?*: Yes No
Can you stack a truck?*: Yes No
Do you have experience in a Trade or as a labourer?*: Yes No
If yes, give details of work, duration, and position:

Work History

Current or Previous employer:
Date employed From:
Date employed To:
Position:
Reason for leaving:
Employment type:
Contact Reference:
Reference phone number or email:
Previous Employer:
Date employed From:
Date employed To:
Position:
Reason for leaving:
Employment type:
Contact Reference:
Reference phone number or email:

Availability

Days Available: Mon Tue Wed Thu Fri Sat Sun
When are you able to start*:

Hobbies and interests

Please give brief description:

Authorisation and Declaration

I declare that the information I have given in this form is accurate and true. Yes No
As a condition of your application Simons Moving Service will need to verify your details and the information given.
Do you consent?*: