Xaana AI

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CANDIDATE REGISTRATION FORM

PERSONAL DETAILS

* First Name

* Last Name

* Email

Phone

Mobile

Street

City

Postal Code

State

Country

EMPLOYMENT DETAILS

Current Position

Current Work Type

Are you currently looking for work?

Date Available

Ideal Position

Ideal Work Type

Ideal Salary

Frequency

HEALTH, SAFETY AND SECURITY CHECKS

* To ensure that we can provide you with a safe work environment, do you have or have you had a physical or psychological injury or illness that may prevent you from performing certain work related tasks or passing a medical examination if required?

If applicable, what work related tasks are affected? Please provide further details.

In case of an emergency, please provide us with the emergency contact details below.

Emergency Contact Name

Emergency Contact Tel No

Emergency Contact Relationship

*

Have you ever been charged with a crime, have pending criminal charges, or have been convicted of a crime (including findings of guilt with no conviction and traffic offences) that would result in a disclosable court outcome, other than a spent conviction under State, Territory or Commonwealth spent conviction schemes? (Australia only)

* Do you have any unspent convictions which relate to a criminal offence you committed overseas which would reasonably be considered to be relevant to the duties of the position you are applying for?

ATTACHMENTS

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ACKNOWLEDGEMENT

* I hereby acknowledge the details entered above to be true and correct at the time of lodgement.