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Please attach your resume: (This will pre-populate some questions on this form)
Google Drive
DropBox
Computer
Please attach Identification such as Drivers Licence, Passport & Any Relevant Certificates:
Google Drive
DropBox
Computer
Contact Details
First Name:
*
Middle Name:
Surname:
*
Address 1:
*
Address 2:
Suburb:
*
Post Code:
Mobile:
*
Home Phone Number:
Email:
*
Date of Birth:
Gender:
Male
Female
Dependents:
Yes
No
Dependents Age:
Emergency Contact:
First Emergency Contact:
*
First Emergency Contact Phone Number:
*
First Emergency Contact Relationship to you:
*
Second Emergency Contact:
Second Emergency Contact Phone Number:
Second Emergency Contact Relationship to you:
Additional Information:
Do you currently receive a benefit?
Yes
No
Are you legally entitled to work in New Zealand?
*
Citizen
Resident
Open Work Visa
Student Visa
If you are not a Citizen or Permanent Resident of New Zealand please enter your visa expiry date:
What Licences do you currently have? (Hold down SHIFT Key to Select Multiple Licences)
Learner Licence
Restricted Licence
International Full
Class 1 - Full NZ Licence
Class 2
Class 3
Class 4
Class 5
Class 6
Drivers Licence Number:
Licence Expiry Date:
Do you have any Criminal Convictions? (Failure to disclose any convictions may result in immediate dismissal)
Yes
No
If yes, please provide details:
Do you have any Personal Protective Equipment?
Yes
No
What Personal Protective Equipment do you have?
Area / Position Applied For:
Please list the Preferred Locations you would like to work:
Skills
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Edit Skill
Skill :
Ref No :
Years Used :
* Invalid number
Last Used :
* Invalid Date
Expiry Date :
* Invalid Date
Preferred :
×
Add Skills
Skill
Skill Group
Skill Type
×
Confirm
Are you sure that you want to remove this entry?
×
Close
The Skill record has changed. Do you wish to continue and lose your changes?
Skill
Skill Group
Skill Type
Work History
×
Company :
* Mandatory.
Employment Type :
Industry :
Position :
* Mandatory.
Location :
Contact :
Start Date :
BH Phone :
End Date :
Reference Type :
Current :
Duties and Responsibilities :
×
Confirm
Are you sure that you want to remove this entry?
×
Close
The Work History record has changed. Do you wish to continue and lose your changes?
Start Date
End Date
Company
Position
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