CANDIDATE REGISTRATON

Please complete the form below to register yourself

---

Salutation-MrMrsMissMsDr

*  First Name

*  Last Name

Profile Picture

Choose file

Identification document (Passport or License)

Choose file

*  Email

Phone

*  Mobile

Date of Birth

*  Street Address

*  City

*  Postal Code

*  Country-Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao North Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand The Democratic Republic of Congo Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

*  Emergency Contact Name

*  Emergency Contact Phone

*  Citizenship/Permanent Resident Status

*  Current Position

*  Current Salary (including superannuation)

*  Frequency Hour Day Week Month Year

*  Expected Salary (including superannuation)

*  Frequency Hour Day Week Month Year

*  Availability/Notice period

Select Date Immediate Select Notice Period

1 Week 2 Weeks 3 Weeks 4 Weeks 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months

*  Any upcoming leave planned (next 12 months)? If yes, please provide dates

*  Qualifications (including Real Estate Licence)

*  Are you aware of any medical condition/s which may affect your work performance?

Yes

No

*  Do you have full rights to work in Australia?

Yes

No

*  Have you had a worker’s compensation claim in the past 5 years?

Yes

No

*  Do you have a clear police record?

Yes

No

*  Do you have a valid driver’s license?

Yes

No

*  Do you have your own vehicle?

Yes

No

*  Are you willing to provide a National Police Clearance if required?

Yes

No

*  Have you ever been bankrupt?

Yes

No

*  I hereby confirm that all of the information supplied by me IS TRUE, ACCURATE AND COMPLETE IN ALL RESPECTS. I UNDERSTAND THAT IF I WITHHOLD RELEVANT INFORMATION OR SUPPLY FALSE OR MISLEADING INFORMATION ABOUT ME, MY APPLICATION MAY NOT BE FURTHER CONSIDERED. I ALSO UNDERSTAND THAT MY EMPLOYMENT OR CONTRACT POSITION MAY BE TERMINATED IF, AFTER INVESTIGATION, AN EMPLOYER OR CLIENT DISCOVERS THAT ANY INFORMATION THAT I HAVE PROVIDED IS FALSE OR MISLEADING. I give my consent to Co. Recruit Pty Ltd to retain my personal information in accordance with their privacy policy and for it to be provided to potential employers for recruitment purposes. 

Submit Form