Hi-Trans Express :: APPLICATION OF INTEREST

This form is your first step to potential employment at Hi-Trans Express. Simply complete the form, taking care to provide information in every field, and then hit 'Submit'. Your application for employment will be processed and a response will be forthcoming from our employment office within 2 working days.

Date of Application
Surname
Given Names
Date of Birth (optional) (Juniors under 21 years of age to specify)
Address
Suburb
Postcode
Telephone number
Email address
Languages spoken
Country of Citizenship
Residency status
Are you permitted to work in Australia?
Do you have a Tax File Number (TFN)? (to be provided if successful)
Do you hold a current Drivers Licence? (Licence details will be verified in accordance with State requirements)
Drivers Licence No.
Licence Class
Expiry Date

TRAINING EXPERIENCE: COURSES, FIRST AID, FORKLIFT ETC

Qualification	Institution

PREVIOUS EMPLOYMENT

Dates from/to	Position Held	Company	Reason for leaving

NB: You will be advised where previous employers may need to be contacted.

Have you ever been convicted of any criminal offence?
If yes, state particulars

PHYSICAL RECORD

Have you got a current Truck Safe Medical?
Have your ever received any serious injury?
Have you ever had any serious illness?
Have you any deformity or physical impairment?
Is your eyesight or hearing in any way deficient?
Do you have any pre-existing injuries or illness?
Have you ever applied for Worker’s Compensation?
If you have answered Yes to any of the previous physical record questions, please state particulars:

BEFORE SUBMITTING: THE BELOW TO BE READ AND AGREED TO BY APPLICANT

It is agreed and understood that:

Completing this application will in no way assure that I will be employed.
This application was completed by me; all entries on it and information in it are true and complete to the best of my knowledge and any misrepresentation of information given shall be considered an act
of dishonesty and I understand that any falsification or misrepresentation herein could result in my discharge in the event that I am employed by Primeline Contracting Pty Ltd. I will furnish freely such information or documents that may be required to complete my employment file.
I hereby authorise Primeline Contracting Pty Ltd to investigate my previous record of employment to ascertain any and all information which may concern my record whether same is of record or not and I release my former employer from all liability for any damages on account of furnishing such information.
In the event of my leaving Primeline Contracting Pty Ltd for any cause I authorise Primeline Contracting Pty Ltd to answer any and all enquiries as to my conduct and qualifications while working for the company, and reason for leaving.
I agree that whenever I leave Primeline Contracting Pty Ltd either voluntarily or involuntarily, I will return all company property. Otherwise, I understand the cost is to be paid by me.
If Primeline Contracting Pty Ltd requires I consent to undertake a medical examination at the Company’s expense and I authorise the release of any relevant information associated with any preexisting
condition/ailment to the Company, provided that such information is treated with sensitivity and confidentiality.
If offered employment with Primeline Contracting Pty Ltd, I understand that my employment conditions are as expressed in the Policies, Procedures and Standard Conditions of Employment contained in the
Employment & Safety Handbook which will be issued to me on commencement of employment.
Your employment is confirmed upon the receipt of a duly completed Letter of Appointment signed by the Managing Director.

Do you understand and agree to this ?