This form is required for compliance purposes and records your details with our company. By completing and signing.

GG-WHS WORKER'S PRE-QUALIFICATION-009 *

✔️

DATE TODAY: *

WORKER NAME: *

WORKER MOBILE NUMBER: *

WORKER EMAIL: *

BUSINESS NAME WORKING FOR: *

DRIVER'S LICENCE – photo of front and back *

TRADE LICENCE – photo front and back (if applicable)

DO YOU HAVE A WHITECARD? *

Yes

WHITECARD NUMBER (if applicable):

DO YOU HAVE TICKETS? *

Yes

TICKET TYPE: *

TICKET NUMBER: *

ATTACH A SELFIE *

Reminder: The validity of this form/document depends on your signature. It will not be legally effective until the PDF copy provided to you is signed.

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