Tuesday, March 19, 2024

EWS Recruitment Registration - (VISA

Holder)

Your Name
Matthew O Sullivan

Date of Birth
Friday, May 3, 1996

Your Phone Number

(+61) 041-5837419

Address
2/44 Howitt St, South yarra
Melbourne, Victoria, 3141

Emergency contact
Darren O Sullivan

Emergency contact number

(061) 472 860 142

Tickets and IDs - Please upload a copy of your tickets, White card, Drivers license.

1
What role have you applied for?
Labourer

Do you have the following?

Your own reliable vehicle White Card Car/Bike License MR/HR/MC Licence Full PPE

Pre-Medical Part 1 - Do you have or have you suffered any other the following?
None of the above

HEALTH HISTORY
None of the above

Treatment or medical advice - Please Tick if you have any of the following?
None of the above

PHYSICAL RESTRICTIONS - Do you have difficulties with any of the below?

None of the above

APPLICANT’S DECLARATION
No

2
Banking information
Bank/institution name
Commonwealth bank

BSB
063464

Account number
11084972

Account Name
Matthew O Sullivan

Candidate Declaration - Please sign to declare that the information you have given is true and
correct, that you agree to employment with Erie Workforce on the terms and conditions set out
in this employment contract.