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| What position are you applying for ? |
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| Position |
other:
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Please quote specific job number if you are applying for a job on our website : |
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| Your Details |
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| Title |
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| First Name |
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| Last Name |
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| Date of Birth (optional) |
(dd/mm/yyyy)
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| Nationality / Citizenship |
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| Contact Details |
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| Street |
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| Suburb |
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| City |
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| Phone |
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| Fax |
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| Cell |
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| eMail |
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| Do you give permission to contact you via email? |
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| Work Preferences / Additonal information |
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| Other |
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Do you have any condition, injury or illness you have suffered
that may affect your ability to effectively carry out the
functions and responsibilities of the position applied for or impact on the company,
its business or staff?
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Do you have a criminal record or are you awaiting the hearing
of charges in a civil or criminal court of law on any matter
that is relevant in any way whatsoever to this workplace, the
nature and type of business the company is in, our customers,
services or products or the tasks associated with the position you are applying for?
If so please detail:
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| How did you hear about NZPE? |
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| Terms & Conditions |
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Please read our Terms & Conditions below:
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