PO Box 1386 (Unit 20 16-24 Whybrow Street) Griffith NSW 2680 +61 2 6964 0886 0418 696 228 This email address is being protected from spambots. You need JavaScript enabled to view it. Master Licence 000107675
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Employment Form

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Please provide a valid e-mail!
Retype the e-mail!
Type of Work Required
Type of Work Required
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Please list any professional associations of which you are or have been a member.

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Are you currently or have you in the last two years, been a member of a union or any industrial body:

Membership
Membership
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Give details of previous employment since you completed your full time education.
Start with your current appointment.

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Security Licence Categories
Security Licence Categories
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We invite you to add any relevant details, outside those given above, concerning your ability to perform your
duties or any restrictions which may affect you ability to perform your duties. You should be aware that
information provided here or at the interview which is found to be misleading or false may result in the
withdrawal of any offer or termination of your employment.


2. I understand that background checks which may include criminal history checks will be conducted in
processing this application
3. I accept that it is a condition of my employment that I work shift work


4. I accept that it is a condition of my employment that I maintain a current and valid drivers licence, a current
first aid certificate and that all security licences are maintained and current.

Acceptance
Acceptance
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Submit

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