* Optional only
State of Registration
QLD NSW
Surname
First Name
Middle Name *
Address
Suburb
State
QLD NSW Postcode *
Home phone no
Mobile *
E-mail address
Qualifications *
Courses *
Transport *
Do you have your own transport? Have a Certificate of Competency? Car Heavy Combination Multi Combination Heavy Ridged Medium Ridged Light Ridged Motorcycle Motorcycle Restricted Other Licence type Certificate of Competency issued by ACT NSW NT QLD SA TAS VIC WA State
Work Visa number *
Visa Expiry Date *
I am seeking employment as
Please provide details of relevant work history *
Is there any additional information you feel we should know? *
Have you at any time made an application to, or worked for Deky Personnel Pty Ltd *
Yes No
I certify that the above information is true and accurate to the best of my knowledge
Agree Disagree