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Employment Application Form

What position are you looking for at Mazzega's ?:

Please tell us about yourself ......

Surname: Given Names:

Address: Email Address:

Telephone: (Hm) Telephone: (Mobile)

Date of Birth: (DD/MM/YYYY)

Now enter your education & qualification information .....

Year Completed :

Name of School or College :

Standard Attained / Qualication Obtained: (Year 12)

Other relevant Qualifications, Trade skills or Certificates:

Year: Institute: Certificate Name:

Other:

Please tell us about employment history ........

(Please start with your present or most recent employment and work backwards)

Date from-to :

Name and Address of Employer

Position Held: Main Duties:

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Date from-to:

Name and Address of Employer

Position Held: Main Duties

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Some additional information required .......

Drivers Licenses Held :

Languages:

First Aid Certificates:

Fork Lift License:

Interest & Hobbies:

If selected, when could you commence employment with Mazzega's ?

Enter Referee information here .......

Provide three persons as work related referees from whom confidential reports may be obtained.

1. Name Company Position

Tel (B/H) Mobile

2. Name Company Position

Tel (B/H) Mobile

3. Name Company Position

Tel (B/H) Mobile

Final Declaration by Applicant ........

1. I understand that any misrepresentation of facts in this application could be cause for termination.

2. I consent to any reference checks which may be necessary to support this application if employed.

I, hereby declare that the information contained in this application is to the best of my knowledge true and correct.