Staff Apply - Perth Social Club

Employment Application

All fields with a star * are compulsory.

PERSONAL DETAILS

First Name *

Surname *

Preferred Name

Username *

Password

Confirm Password

Address

Suburb

State

Postcode

Home Phone

Work Phone

Mobile *

Fax

Email *

Date of Birth

Are you a permanent resident of Australia?

If you chose No, please complete:

Passport number:

Visa number:

Visa expiry date:

Type of Visa:

Please attach a copy of your VisaResume must be less than 5 Mb in size, and in DOC or PDF format

MEDICAL INFORMATION

Height (In cm):

Weight (In kg):

Is there any factor that would prevent you from effectively performing the tasks associated with the position for which you have applied?

If yes, please explain:

Have you ever made a workers compensation claim?

If yes, please provide details:

Are you being treated by a doctor for any illness?

Are you currently taking regular medication?

Have you had any serious illness or injury?

If you answered yes to any of the three questions above please provide details:

NEXT OF KIN INFORMATION

Title:

Surname:

First name

Relationship:

Home Address:

Suburb:

State:

Postcode:

Home No:

Mobile:

PAY DETAILS

Tax File Number

Bank Branch

Account Name

Bank Account BSB

Bank Account Number

Super Fund Name

Super Fund ABN

Super Fund SPIN / USI

Super Membership Number

EMPLOYMENT HISTORY

Briefly describe your hospitality experience:

Please provide details of formal hospitality training / any relevant qualifications you have obtained?

GENERAL INFORMATION

Shirt Size

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I have read and understood the privacy statement *

Please click on the "I am not a Robot button"*