Please fill in all mandatory (*) fields
State *
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Please select State.
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Preferred Depot *
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Please select Preferred Depot.
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Alternative Depot
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Have you recently returned from overseas (Yes/No?) *
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Have you recently returned from overseas?
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If so, on what date?
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Have you recently arrived from interstate (Yes/No?) *
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Have you recently arrived from interstate?
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If so, on what date?
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Have you recently self-isolated (Yes/No?) *
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Have you recently self-isolated?
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Do you have any health or physical problems? *
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Do you have any health or physical problems?
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If yes, give all details
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Do you forsee any problems with heavy physical work/ lifting heavy items? *
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Do you forsee any problems with heavy physical work/ lifting heavy items?
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Have you ever suffered an injury or illness, which affected your ability to work? *
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Have you ever suffered an injury or illness, which affected your ability to work?
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If yes, give all details
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When are you able to start *
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Please enter Available Start Day.
Please enter Available Start Month.
Please enter Available Start Year.
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As a condition of my application, I authorise investigation of all statements contained
herein.
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Do you consent ? *
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Please select 'Do you Consent?'
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