The information with the application will be used for recruitment processes only
and will be distributed to the Manager. Applications will be kept confidential.

	All sections below must be filled in below to fullest accuracy.
	First Name:
	Last Name:
	Address:
	Work Telephone:
	Work Mobile:
	Private Telephone:
	Private Mobile:
	Date of Birth:
	Age:
	Drivers Licence Number:
	Expiry Date:
	Location where Drivers Licence was issued:
	Martial Status:
	Partners Name:
	Number of Children:
	Age of Children:
	How long have you lived at your current address?
	Previous address:
	How long were you at that address?
	Do you have or are you currently being treated for any serious medical conditions?	Yes No
	If YES, please details condition/s and treatment:
	Are you physically able to work 8 hours per day?	Yes No
	Can you physically bend, lit and carry items?	Yes No
	Describe your current fitness level:	Below Average Average Above Average
	List your interests or any special skills:
	Have you had any experience in the cleaning industry?	Yes No
	If YES, please specify
	Have you used any cleaning machinery or equipment before?	Yes No
	If YES, please specify
	Current Occupation (or most recent occupation if unemployed)
	Position:
	Company:
	Industry type:
	Duration of employment with employer:
	Briefly describe responsibilities:
	How many people supervised by you?
	What is your highest level of education?
	Please list other professional qualifications also:
	Referees
	Name:
	Relationship:
	Address:
	Contact Number (1):
	Contact Number (2):
	Name:
	Relationship:
	Address:
	Contact Number (1):
	Contact Number (2):
	Name:
	Relationship:
	Address:
	Contact Number (1):
	Contact Number (2):
	I declare that the information is true and correct.
	Name:
	Date:
	Please complete the Captcha below before submitting