Paspaley Pearling Co Pty Ltd
ABN # 67 009 591 708
Paspaley Pearls Properties Pty Ltd
ABN # 52 009 624 408
Australian Pearl Centre Pty Ltd
ABN # 68 098 482 323
AeroRescue Pty Ltd
ABN # 12 111 218 467 / Pearl Aviation Australia Pty Ltd
ABN # 40 008 903 017
Aeropearl Pty Ltd
ABN # 75 088 767 284
Darwin Ship Repair & Engineering Pty Ltd
ABN # 66 009 634 191
Aviation Management Pty Ltd
ABN # 80 111 270 154

P Please tick the relevant box

APPLICATION FOR EMPLOYMENT

Position/s applied for:

Dept: Other/s

Surname: Given Names:

Address:

Postal Address:

Telephone No: Mobile No:

Email Address:

Educational Background

Please indicate highest education level achieved / Qualifications Achieved / Year Obtained
Secondary
TAFE
University
Other
Please provide details of additional training courses or further studies attended relevant to position applied for:
Employment History
Name of Employer
/ Position Held / Date from / Date to
Responsibilities
Name of Employer
/ Position Held / Date from / Date to
Responsibilities
Name of Employer
/
Position Held
/ Date from / Date to
Responsibilities

Form HR001 Page 4 of 1 Rev Date: 4 January 2006

APPLICATION FOR EMPLOYMENT

Pilots Only
Australia ATPL No: / Medical Due Date:
Total Hours: / Command:
Total Multi Hours: / Command:
Total Turbo Prop Hours: / Command:
Total Turbo Jet Hours : / Command:
Total Night Hours : / Command:
Multi Engine Night Hours : / Command:
Instrument Flight Hours: / BGT YES NO
Command Instrument Rating Due Date: / Date of Initial I/R Rating:
Endorsements / Hours on Type / Endorsements / Hours on Type
Mutli Engine Piston Only / Command / F/Officer / Multi Engine Turbine / Command / F/Officer
Check & Training Experience:
Specialist Aviation Skills:
Are you willing to serve at any Pearl Aviation Base? YES NO
If NO, please state reason:
Have you previously been employed by Pearl Aviation? YES NO
Engineers Only
LAME Licence No: / Expiry Date:
List of Additional Specialty Licences:
Medical Information (All Employees)
Date of Birth: / Height: / Weight:
Are there any factors which would prevent you from effectively performing the tasks associated with the position/s applied for: YES NO If YES, please provide details:
Date and Nature of Injury / Illness / Period of Injury / Illness
Are you being treated by a Doctor for any illness which may impact on your ability to perform the role/s you have applied for? / YES NO
Are you taking regular medication which may impact on your ability to perform the role/s you have applied for? / YES NO
Are you colour blind? / YES NO
Have you had any serious illness or injury which may impact on your ability to perform the role/s you have applied for? / YES NO
If you have ticked YES to any of the above questions, please provide details:
Do you agree to a pre-placement medical assessment? / YES NO
Have you previously been employed by the Paspaley Pearls Group? / YES NO
If YES, please state when and previous position/s held:
Do you have any friends or relatives working for the Paspaley Pearls Group? / YES NO
If YES, please give name, position and relationship:
Have you any reason to believe that any prosecution or charge against you may be pending? / YES NO
If YES, please provide details:
(Only convictions directly related to the specific duties of the role you have applied for will be considered relevant)
Personal Particulars
If you are currently employed, how much notice must you give your current employer?
Are you a permanent resident of Australia? YES NO If NO, please complete below:
Passport No: / Type of Visa (eg work, student):
Present Visa No: / Visa Expiry Date:

.

References
Please provide details of at least three contactable referees. These should be supervisors.
Referee Name / Occupation / Company / Daytime Phone No
May we contact your current employer for a reference? YES NO
If YES, please state Name and Position of person we may contact:

Conditions of Employment

I agree that if my application for employment is accepted:

1.  I will abide by all Company policies and procedures, and as amended from time to time.

2.  I agree to a police and/or security clearance prior to commencement of employment and subsequent police and/or security clearances.

3.  I will be subject to properly conducted searches of my property and possessions.

4.  The Company is granted permission to check references and to verify previous employment and quality of work.

I acknowledge and declare that the above mentioned particulars are complete and accurate in every detail. I also understand that should any information that I have provided be found to be false or misleading, my contract of employment may be instantly terminated without notice.

Signature of Applicant: Date:

Form HR001 Page 4 of 1 Rev Date: 4 January 2006