Adseal Group Contractor Application - Jan 2017

Please fill in your details below in order for us to be able to use you as a contractor. By filling out this Smartsheet you acknowledge you wish to work for Adseal on the basis of a contractor.

Name*

ABN Number*

Address*

Phone and email*

Work History

Give a brief overview of your other prior work history including on-site experience.

Bank account name, BSB, and account number*

We need to have this to set you up to be paid

Are you legally entitled to work in Australia?*

Select or enter value

MANDATORY Health Question*

Do you have any impairment, medical condition and/or special needs that may affect your ability to safety and competently perform any on-site or other manual labouring tasks?

Select or enter value

Required Attachments*

Please upload your Drivers Licence (or other photo ID), white card, copy of WC/PL Insurances, or other certificates or licences, copy of your working visa

Drag and drop files here or

Referees

Additional Information

Do you have a further comment? - what benefit do you think you will be to the company?

Read and understand the following before submitting*

I understand by submitting this electronic form that: - This is an application only and is no guarantee of work. - By filling out this Smartsheet I state that I have chosen to work as a contractor rather than an employee of the company. - I certify that the information on this form is true and correct. - I understand that misrepresentation, or omission of facts may be sufficient grounds for rejection of this application, termination of engagement, or legal action.

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