Terrex Seismic Careers Opportunity Form

Do you hold a current Australian Drivers License

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Please make a selection.You Must have a valid license to apply.

Aust Drivers License
You must hold a valid manual Australian drivers license in order to apply for this position

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State

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Expiry Date (dd/mm/yy)

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Is your license suspended?

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Class of License Held

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Surname	A value is required.	Position Applied for	Please select an item.
Other Names	A value is required.		click here for job decriptions
Address	A value is required.	Email Address	Invalid format.
Suburb	A value is required.	Home Tel No
State	Please select an item.	Mobile	A value is required.
Postcode	A value is required. Invalid format.	Date Of Birth (dd/mm/yy)	A value is required.Invalid format.
Are you an Australian resident and eligible to work in Australia?	Yes No You must be eligible to work in Australia to complete this form.Please specify a value.

Do you have a medical condition	Yes No Please specify a value.	If yes give details
Any formal offer of employment is subject to the prospective employee undergoing a medical screening and a 5 panel drug test performed by a qualified medical practitioner.
Are you able to pass a preemployment medical?	Yes No Please make a selection.
Are you able to pass a 5 panel drug screen?	Yes No Please make a selection.

I understand that it is a requirement that all employees must be able to obtain a Security Clearance to work in seismic survey areas.			Yes Please make a selection.

I understand that any offer of employment is subject to passing a medical examination and a drug screen.			Yes Please make a selection.

I understand that it is a requirement that I must have a current and valid Australian Drivers Licence			Yes Please make a selection.

I understand that I will be contacted by a company representative if successful.			Yes Please make a selection.


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Terrex Seismic Career Opportunities Form

Please attach your resume	A value is required.
Additional Notes for application