WESTERN PORT PIPE AND MECHANICAL SERVICES PTY LTD

  EMPLOYMENT

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Employment Application Form

Position Applying for:
Date:(ddmmyyyy)
Christian name
Surname
Sex Male Female
Date of Birth (ddmmyyyy)
Street Address
City
State
Post Code
Country
Home Phone
Mobile
E-mail address
Emergency Contact name

Emergency contact Phone

Union:

AMWU      AWU      ETU      OTHER

 

Please tick if you have a  preference for:

            Maintenance        Construction    Workshop
           

Please supply a brief Employment History:

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Previous Employment History

            Company                                 Contact                                    From     To          Position

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