REGISTRATION => NEW REGISTRATION
FIRST NAME: LAST NAME:
MIDDLE INITIAL: GENDER: Mr. Ms.
DATE OF BIRTH: SIN: (Please don't put FALSE SIN!)
CITY: ADDRESS:
POST CODE: MAJOR INT:
PRIMARY PHONE: ALT PHONE:
EMERGENCY CONTACT: Work Permit Expiry Date:
HEIGHT: WEIGHT(lbs):
How did you hear about us:
Have you been convicted of a crime from which you have been not yet been pardoned? YES NO
Do you have any impairments or ailments,which would be relevant to your work? YES NO Please State Nature:
EMPLOYMENT SPECIFICS
POSITION DISIRED: General Labor Forklift Operator Shipper Receiver Order Picker Mail Sorter Machine Operator
Permanent Temporary Student Part Time Weekends Contract
EMPLOYMENT HISTORY
Employer: Phone:
Address: Supervisor:
Industry: Position Held:
Start Date: End Date:
Starting Salary: Ending Salary:
Was this position obtained through another agency:
Duties:
I hearby register as a new user of teamlease, and agree the service.