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CANCEL FORM SUBMISSION AND RETURN TO WILKO FORMS
New Worker
Section 1 - General Information
What is your job classification?
*
Employee
Contractor
Full Name
*
Date of Birth
*
+
Street Address
*
Suburb
*
State
*
QLD
NT
NSW
ACT
VIC
SA
TAS
WA
Postcode
*
Phone Number
*
Email Address
*
Next of Kin Phone
*
Next of Kin Name
*
Shirt Size
Small
Medium
Large
X Large
XX Large
XXX Large
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