Application for Fruit Picking Work and Accommodation

The Depot at Nyah

2921 Murray Valley Highway, Nyah, Victoria, Australia 3594
Register for Accommodation and Work

Fill the form below accurately indicating your details and approximate arrival and departure dates
The information provided in this application shall not be shared to anyone else and is kept confidential.

Fields marked with an * are mandatory and must be supplied.
Name

First Name Last Name
Email *
example@example.com
Application Type *

Enquiry only Register for Accommodation Register for Work and Accommodation
Arrival and Departure
Phone Number
Alternate Phone Number
Comments

Emergency Contact

First Name Last Name
Emergency Contact Phone Number
Date of Birth

Day Month Year
Date Picker Icon
Nationality *
Passport Number
Drivers License

Number State / Country
Vehicle Registration

Number State
Details for employment
Tax File Number
Visa Expiry Date

Day Month Year
Date Picker Icon
Work Visa Number
Are you a student for tax purposes

Yes No
Medical Conditions
Submit my application
- I acknowledge that management reserves the right to evict without notice.
- I agree there will be no eating, drinking or smoking in designated sleeping quarters.
- If my room smells of smoke I agree to pay $200.00 for cleaning charge.
- I agree that cooking will only take place in designated cooking areas.
- I agree not to light open fires on any part of the park.
- I agree no visitors will be allowed without prior park management consent.
- I agree I will not spit on park ground or urinate other than in designated toilet facilities.
- I agree not to consume excessive alcohol or behave in a drunk and disorderly manner whilst on park premises.
- I agree to only smoke in uncovered areas and discard cigrette butts in the rubbish bins provided.
- I agree that cars will be parked only in deisgnated car parking areas.
- I agree that bond shall be refundable only on satisfactory inspection of cabin.
- I acknowledge I am personally liable for damage I cause to The Depot plant and equipment.
- I acknowledge that this is workers accommodation and lights will go out at 10:30pm.
- I agree there is no refund of rent for early departure.
- I agree that early termination of agreed rental period will attract an additional payment of 1 weeks rent.
- I agree that for a job placement arranged by The Depot I will continue residing at the depot for the whole period of my employment.
- I agree to pay $50 for lost or replacement keys to my room.
- I agree to pay a room servicing and laundry fee of $50 on departure.
I have read and agree to the above conditions

Yes
The information I have supplied on this form is true and correct

Yes
Should be Empty:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

The Depot at Nyah

Register for Accommodation and Work

Details for employment

Submit my application