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Employment Application

   Poly Pipe has minimum conditions of employment that include:
  1. Ability to read, write and speak well in the English language.
  2. Must be an Australian Citizen OR a holder of a Permanent Residency Visa.
  3. Good physical condition, good eyesight and good hearing.
  4. Employment is subject to a medical examination and ongoing drug testing.

*Compulsory Fields
Name of position*
Title* Mr Mrs Ms Miss Dr
Given names*
Street address*
State*  Postcode*
Phone* ( )
Date of birth (optional)
Sex (optional) Male Female
Are you an Australian Citizen or a holder of a Permanent Residency Visa?* 
Yes No
Do you hold a current (unencumbered/unlimited) car driver's licence?* 
Yes No
Please provide details of your type of licence*
Other vehicle licence details
Do you have any pending proceedings which may remove your licence entitlement?*
Yes No
Do you hold other relevant licences or certificates?
OH&S Green Card*:     Yes No
Senior First Aid Certificate*: Yes No
Highest level of education*:
Please provide details of trade qualifications*:
Please provide employment history*:
Date in years Name of current employer Position Description
eg. 2004 - Current eg. IXL Pipes eg. Welder eg. Senior
Name Company Phone
Medical declaration*:  
To assist Poly Pipe to comply with its obligation to ensure a safe workplace and in order to enable it to determine whether applicants are able to safely and adequately perform duties required by the position, please provide details of any previous or current injuries, illnesses or disabilities of which you are aware and which you believe may affect your ability to carry out the requirements of the position.*
I am willing to undertake a medical examination and provide a medical certificate attesting to my current state of health.*  
  Yes No  
I understand that any false or misleading information given in this application, whether in writing or during an interview, may be reason for my employment, if i am appointed, to be terminated. I declare that to the best of my knowledge any information provided in or in   relation to this application, is true, complete and correct.*
  Yes No

Security Code*: Please enter polyp here- >

Please make sure all compulsory fields are complete before submitting.

Please send your full resume via or post to

Poly Pipe Pty Ltd
ABN 54 118 106 022
Attn: General Manager
379 Awaba Road
Toronto NSW 2283 Australia

Click here to email your application  

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©Poly Pipe Pty Ltd.

ABN 54 118 106 022
379 Awaba Rd, Toronto NSW 2283
P: (02) 4950 7400
F: (02) 4950 7444

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