All questions must be answered and all answers will be treated confidentially by (Naismith Truck Movers Pty Limited). Naismith Truck Movers is proud to be an Equal Opportunity Employer.
Your Current Residential Address
Your Contact Details
(if yes, please give details of each offence or attach a Road Traffic Authority printout)
List all Vehicle Accidents in the past three years (supply details, damage & approximate cost)
Do you have experience in operating the following?
(if yes, please give brief details)
Do you give permission for Naismith Truck Movers to check the Following?
Diseases or Illness
Do you currently have, or have you had in the past, any other illness, medical condition, pre-existing ailment, physical disability, mental disability or working limitations that:
(if yes, please supply details)
Type of Injury
Period & Dates of Absence
(please tick appropriate box)
If currently employed, please list Employer and Years worked at Current Employment.
(Please Note: Your current employer will not be contacted without your express permission)
Position + Relevant Duties
(Please provide names and contact details of at least two previous Employers or Personal References who may be contacted to confirm Employment Details, Work Performance/ Personal Ethic’s & General questions.