Step 1 of 6 16% GENERAL DETAILSFull Name (as shown on your ID)* First Last Date of Birth*When were you born? DD slash MM slash YYYY Residency Status*Please specify your current residency status in AustraliaPlease select...Australian CitizenPermanent ResidentWorking Holiday VisaEmployer Sponsored VisaSpouse Sponsored VisaStudent VisaTourist VisaOtherCONTACT DETAILSAddress Details* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address*What is your primary email address? Phone Number*What is your primary phone number? WORK AVAILABILITY AND TYPEPrimary Line of Work*Please select your primary line of workPlease Select...LabourTradeApprenticeConstruction Experience*How much experience do you have for this type for work?Please select...None0 - 12 months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10 - 15 Years15 - 20 Years20+ YearsAvailability Date*What date are you available from? Leave selection on today's date for immediate availability. DD slash MM slash YYYY Labouring Skills*As a labourer, what sort of skills have you gained on site? Bricklaying Caulking Concreting Demolition Jackhammer Plastering General Power Tools Grouting Make Good Rendering Site Clean Steel Fixing Storage and Racking Trade Assistant Warehouse Waterproofing Welding --------------------- Add more Labouring Skills (Additional)*Please specify any further relevant skills not listed above Industry Tickets / Cards / MembershipsSelect any tickets you have CoInvest Dogger Electrical Spotter Elevated Work Platform (Under 11m) Elevated Work Platform (Over 11m) First Aid Forklift IncoLink OH&S Plant Operator Police Check Rail Rigger Scaffolder (Basic) Scaffolder (Intermediate) Scaffolder (Advanced) Traffic Control Truck (HR) Truck (MR) Union Member Working With Children CoInvest Number* Incolink Number* White Card / Construction Induction Card Type*Please select from list below...VIC White Card / Red CardQLD White Card / Blue CardACT White Card / CI CardNSW White Card / Green CardWA White Card / CI CardNT White Card / CI CardSA White Card / CI CardTAS White Card / CI CardNone - I don't have a White CardDrivers License*Do you have a drivers license? Select typePlease select from list below...VIC IssuedQLD IssuedACT IssuedNSW IssuedWA IssuedNT IssuedSA IssuedTAS IssuedInternationalNo LicenseCountry of International License* REFERENCESWork Reference 1 - Name First Last Work Reference 1 - Company/Employer Work Reference 1 - Phone NumberWork Reference 2 - Name First Last Work Reference 2 - Company/Employer Work Reference 2 - Phone Number WORK ITEMSTransport*What sort of transport to you have access to? Own vehicle Can borrow a vehicle Public transport Push bike None Safety gear / PPE*What PPE / safety gear do you have? You can tick more than one None High visibility wear Steel cap boots Hard hat Gloves Eyewear Ear protection Work pants Other gear not specified above Other PPE* TOOLS YOU OWN*Select anything relevant. You can select more than one. Don't have any tools Hand Tools (e.g. Hammers, Screw Drivers, etc) Drills (e.g. Cordless, Hammer, etc) Saws (e.g. Circular, Drop, etc) Nail Guns (e.g. Framing, Coil, etc) Other Power Tools (e.g. Grinders, Sanders, etc) General Equipment (e.g. Ladders, Leads, etc) Electrical Test and Tag Status*Please Select...Power tools are tested and taggedPower tools are NOT yet tested and taggedDate of last Test and Tag*When were your tools last tested and tagged? Approximate date is fine. DD slash MM slash YYYY Specify Type of Hand Tools* Chalk Line Chisels Clamps Level Hammer Hand Saw Nail Bag Pop Riveter Punch Screw Drivers Square Stanley Knife Tape Measure Tin Snips Specify Type of Drills* General Cordless Drill General Corded Drill Cordless Screw Driver Impact Driver Hammer Drill Specify Type of Saws* Circular Saw Drop Saw Table Saw Reciprocating Saw Jigsaw Specify Type of Nail Guns* Framing Gun Finishing Gun Coil Gun Staple Gun Bradder Gun Specify Type of Power Tools* Angle Grinder (Standard) Angle Grinder (9 inch) Planer Orbital Sander Belt Sander Router Multi Tool Compressor Specify Type of General Equipment* Extension Ladder Platform Ladder Compressor Hoses Extension Leads Other tools not specified MEDICAL & EMERGENCYCurrent Medical Conditions That May Inhibit Work*Do you have any current medical conditions, either illness and/or injury that may inhibit your ability work?Please select...YesNoPrefer not to disclosePrevious Medical Conditions That May Inhibit Work*Have you had any previous medical conditions, either illness and/or injury that may inhibit your ability work?Please select...YesNoPrefer not to discloseMedial Condition Details*Please provide further details about the illness and/or injury. Also include any relevant procedures. COVID-19 Vaccination*Are you vaccinated against COVID-19?Please select...Fully vaccinatedSingle dosePrefer not to discloseEmergency Contact 1 - Full Name* First Last Emergency Contact 1 - Phone*Emergency Contact 1 - Relationship*Partner/SpouseFriendFamily MemberOtherEmergency Contact 2 - Full Name First Last Emergency Contact 2 - PhoneEmergency Contact 2 - RelationshipPartner/SpouseFriendFamily MemberOther ENGAGEMENT STATUSTax File Number Status*Do you have a tax file number? Please Select...YesYes, but I don't have it right nowNo, but I have lodged an application with the ATONo, and I have NOT yet lodged an applicationTax File Number*Please enter your tax file number here. Superannuation Fund Status*Do you have a super fund? Please Select...YesYes, but I don't have the details right nowNo, but I have lodged a registration formNo, and I have NOT yet lodged a a registrationSuperannuation Fund Name*Please enter the name of your superannuation fund. Superannuation Fund Membership Number*Please enter your membership number of your superannuation fund. If you do not nominate a super fund, your super contributions will be paid into a default Cbus Super created for you. Do you give Amrick Services (Aust) permission to provide a Cbus Super account on your behalf* Yes No Bank Account Status*Do you have an active bank account? Please Select...YesYes, but I don't have the details right nowNoBank Name*Please enter the name of your bank/financial institution. BSB Number*Please enter the 6 digit BSB of the bank you want to be paid into. Account Number*Please enter the account number of the bank account you want to be paid into. CONFIRMATIONAll the information I have provided is true and correct.* I ('Worker') confirm. Confirmation signature*Please sign here to confirm. If you have a made a mistake, please click re-do. Date of application* DD slash MM slash YYYY