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Ship Repairers - Off and Onshore Contractors
Welcome to Australian Marine Services Website

To register your interest for future vacancies at Australian Marine Services, please complete the application form below:

POSITION
   
Position Sought
Available Date
   
PERSONAL
   
Subcontractor name (if applicable)
Title Mr Ms Mrs Miss
Surname
Other Names
Date of Birth
Email Address
Address
Telephone
Mobile
   
Do you have your own transport? Yes No
Class of Licence/s held
   
Country of Birth
If born outside Australia, do you need a work permit? Yes No
   
Are you a member of a professional organisation or Trade Union? Yes No
   
Interests/Hobbies
   
Qualifications/Certificates
   
PREVIOUS EMPLOYMENT
   
Present/Latest Employer
Start Date
Leave Date
Duties
   
Previous Employer
Start Date
Leave Date
Duties
   
Previous Employer
Start Date
Leave Date
Duties
   
REFERENCES
   
Name
Address
Occupation
Phone
   
Name
Address
Occupation
Phone
   
HEALTH
   
Are you in good health? Yes No
   
Have you at any time:  
Had an operation? Yes No
Been seriously injured? Yes No
Had a head injury? Yes No
Had a back injury? Yes No
Recieved any workers compensation? Yes No
   
Do you suffer from:  
Diabetes? Yes No
Epilepsy? Yes No
Asthma? Yes No
Anaemia? Yes No
   
Do you take medication regularly? Yes No
Do you need to wear glasses? Yes No
Do you suffer from any other ailments? Yes No

   
NEXT OF KIN
   
Name
Address
Phone

I confirm that the information given on this form, to the best of my knowledge, is true and complete. Any false statement may be sufficient cause for rejection, if employed, summary dismissal.

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