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Sub-Contractor Application
Sub-Contractor Application
Personal Details
Name
Phone number
Address
Email address
Drivers License
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Passport
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Company Details (if applicable)
Trading Name
Incorporated (pty)
Yes
No
Work Cover Number
ABN
Vehicle Details
Make & Model of Vehicle
Year of Manufacture
Vehicle Type
- Select -
1 Tonne Ute/Van
2 Tonne Ute/Van
2 Tonne Van
6 Pallet
8 Pallet
10 Pallet
12 Pallet
14 Pallet
Semi Trailer
Crane
Other
Body Type
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Box
Tautliner
Other
Box Height Clearance
Vehicle Registration Number
Expiry Date
Do you have Vehicle Comprehension Insurance?
Yes
No
Employment Details
Employer 1
Previous Employer
Length of Service
Position Held
Reason for Leaving
Employer 2
Previous Employer
Position Held
Length of Service
Reason for Leaving
Have you had a WorkCover claim in the last 5 years?
Yes
No
Reference Name
Reference Phone Number
Insurance & Compliance
Copy of Public Liabililty
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Copy of Marine Transit Insurance
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Police check
We require all Contractors
to provide a current police check on application. If you do not have a current police check you can obtain one by request at www.policecheckexpress.com.au
Copy of Current Police Check OR application receipt
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