Land Transport - Employment

Page 1 of 6 Join our team

We’re often on the lookout for qualified and motivated people to join the Land Transport team. We’re interested in hearing from you if you’re keen to develop a career in the transport industry. Please complete the following Employment Application to register your interest.
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First name*	Last name*
Phone*	Mobile
Email*	Date of birth
Truck Driver Yard Worker Office Area of interest* Truck Driver / Yard Worker / Office	Preferred postcode*

Page 2 of 6 Previous Employment (past 5 years)

Employer*

Contact*

Phone*

Email

Dates of employment (month / year)*

to

Employer

Contact

Phone

Email

Dates of employment (month / year)

to

Page 3 of 6 Referees (please provide two work related referees)

Referee 1 Name*	Work phone*
Referee 2 Name	Work phone

Page 4 of 6 Licences

Only fill out this section if you are applying for a Truck Driver position.

State held* ACT NSW NT QLD SA TAS WA VIC	Class of licence*	Licence number*
Expiry date*

Forklift ticket

Ticket number

Expiry date

Dangerous Goods

Ticket number

Expiry date

Other

Ticket number

Expiry date

Page 5 of 6 Medical

Have you had a medical examination in the past 12 months?* Yes No

If No, are you prepared to undergo a medical examination? Yes No

Page 6 of 6 Statement of attainment

Do you hold a statement of attainment for Basic Fatigue Management (BFM)?* Yes No

Other?

Additional Information

Thank you for your application

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