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Would you like a fulfilling career with WA’s leading Plumbing Supply Company?

Galvins Plumbing Supplies is a Western Australian owned Company who has been supplying the Plumbing Industry for over 78 years.

Our commitment to the industry is through our trained staff, who offer quality service, backed up by large stock holdings at (17) store locations.
Galvins have continued to expand and build their business by creating opportunities for existing staff.

If you want a career challenge within the Plumbing Industry fill in the ‘Employment Application Form’.

 


EMPLOYMENT APPLICATION

 
 PERSONAL DETAILS  
       
Surname:*
Given Names:*
Address:*
Post Code:*
   
Telephone: Mobile No:*
Email:*    
Maritral Status: No. of Dependants:
DOB: * Only required to answer
if you are under 21.
Place of Birth:
Are you an
Australian
Citizen?
Yes No Do you own a motor vehicle? Yes No
If not,
do you hold:
Work Visa for Australia Class of
Licence held?
  Permanent Resident Visa Lic No: Exp Date:
DECLARATIONS
The following declarations are not intended to prevent people gaining employment with this organization, but will assist us to take due care in assessing the most appropriate placement.
 
 DECLARATIONS      
       
Have you been
convicted of a
criminal offence?
Yes No    
If so,
please specify
Do you have any traffic convictions? Yes No    
If so,
please specify
       
 HEALTH    
       
Are you a smoker? Yes No Are you prepared
to take a company
paid medical ?
Yes No
Have you had any
major illnesses
in the past?
Yes No    
If so,
please specify
       
 WORKERS COMPENSATION    
       
Have you claimed 'Workers Compensation'
for any reason?
Yes No    
If so,
please specify
Important Notice: Section 79 of the Workers Compensation & Injury Management Act gives the Worker's Compensation Directorate discretion to refuse to award compensation which would otherwise be payable, where it is proved that the worker had, at the time of seeking or entering employment, wilfully and falsely representing him or herself as not previously suffered from the disability, the subject of the claim for compe
Have you read the above
statement?
Yes No    
       
 NEXT OF KIN DETAILS    
     
Surname:
Given Names:
Address:
Post Code:
   
Telephone: Mobile No:
       
 EMPLOYMENT HISTORY    
 
Dates: Organisation: Duties:
   From         -         To    
-
-
-
-
       
 EDUCATION DUTIES    
       
School: Level Attained: Year Completed:  
 
       
 TERTIARY TRAINING    
       
Institution: Qualifications: Year Completed:  
 
       
 REFEREES    
       
Name*
Phone:*
Name*
Phone:*
Name*
Phone:*
Comments:    
Please type the code into the textbox *
PYAGOH
   
     
I acknowledge by submitting this application that I am declaring all statements in the application to be true in all respects. I acknowledge that any statement which is found to be false or deliberatly misleading will make me, if employed liable for dismissal. I am prepared to attend a medical and alcohol and other drug testing as part of my application.
       
   

 

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Copyright © Galvins Plumbing Supplies | A: 3-5 Sundercombe Street, Osborne Park, WA, 6017 | T: (08) 9441 8544 F: (08) 9441 8599 | E: roygal@galvins.com.au