Advanced Personel - Advance yourself!

Registration – Step 1
If you are concerned with issues of privacy, please read our Privacy Statement
Please note: (Y = Yes, N = No) and Fields marked with star* symbol – are required fields.
Personal Details
Title:
 First Names*
 Surname*
 Category1:*
Date of Birth:(dd/mm/yyyy)
 Familiar Name / Nickname*
 Category2:*
Job number:
If you are registering for a specific advertised position, please enter the job number here.
Address
Phone Numbers
Address:*
Road, Street etc
Business:
Box/Suburb:
 Fax:
City:*
Post Code:
 Home:
Country:*
 Cell:
Other Contact:
 Email:*
Citizenship
If not NZ citizen or resident
New Zealand or Australian Citizen
Permanent NZ Resident
Hold NZ Work Permit
Require NZ Work Permit
 
How did you first hear about Advanced Personnel?:*
Nationality
Passport Issuing Country*If you do not have a passport please choose your country of birth.
Passport No
Work Permit No Expires (dd/mm/yyyy)
Date of Arrival in NZ (If Overseas at present)
Work Sought
YN
Temporary / Contract
Full Time
Part Time
Have you ever temped before?
YN
Permanent
Full Time
Part Time
Are you currently employed?
Available to start (Date) (dd/mm/yyyy) Position sought
For how long? Preferred location
Hold NZ Driver's Licence?
Normal method of transport to work?
Full Own Car
Restricted Public Transport
Learner Other:
None
Do you have any convictions against the law?
Industrial and Construction only:
Do you have steel capped work boots?
Are the caps inside?
Do you have any dependants?
Do you smoke?
Have you had?
YN
Asthma
Bronchitis
Dermatitis or Eczema
Hernia
Back injury or strain
Blackouts or seizures
Compensation by ACC If yes, dates of incidents (dd/mm/yyyy)
 
Details:
Do you suffer from?
YN
Earache, deafness
Skin Infections
High blood pressure
Heart problems
Diabetes
Any allergies
Colour blindness
OOS (RSI)

Y
N
I have marked all the relevant boxes above which relate to my personal health
Do you wear corrective lenses?
Are you taking drugs or medicine?Details:
How many sick days have you taken in the past 12 months?

0-5
6-10
11-15
16-20
Over 20 days

Please give details of anything else which might affect your performance, or which the Company should know about



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