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Application Form

Application Form

Position Applying For:

EXPRESSION OF INTEREST FORM - CONFIDENTIAL

Privacy Statement

Elf Mushrooms handles all personal and sensitive information collected, used and disclosed in connection with your possible employment compliance with the ten National Privacy Principles set out in the Privacy Act 1988

1. PERSONAL INFORMATION

Mr/Mrs/Miss (Circle One) First Name:

Last Name:

Address:

Suburb:

P/Code:

Contact Numbers(Home):

(Mobile)

Date of Birth:

Do you have a Tax File Number?
YesNo

2.GENERAL INFORMATION

Were you informed about this position by an Employment Agency?: YesNo
If YES, what is the name of the Agency

Subrub

EMPLOYMENT HISTORY

List details of your most recent jobs. (Please list at least 2)

Name of Company	Position Held	Start & Finish Date	Why did you leave?

DECLARATION

I hereby certify that the foregoing particulars are to the best of my knowledge and belief, true and complete.
I acknowledge that by completing this form I am merely expressing my interest in obtaining a position and that no offer of employment is being made.

(Signature)
Date

Name of Interpreter, if required
(Signature)
Where did you hear about this position if newspaper, which one?)

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