Contact Details:
First Name:
Last Name:
Date of Birth: (dd/mm/yyyy)
Mobile Number:
Email Address:
Residential Address:
Street Number:
Street Name:
Suburb:
State / Territory:
Postcode:
Application Type:
Please indicate which of the following you have licenses for:
When was the last time you passed an employment medical?
When was the last time you passed a mining medical?
When was the lsat time you did a generic coal induction?
Do you have any open cut mining experience?
Do you have any underground mining experience?
Do you object to taking an employment medical drug test?
Do you object to taking an employment psychological evaluation?
Do you have experience working in remote adverse conditions, mining camps, construction camps, cattle camps, military camps?
How many years?
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