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- Start Date*
- Finish Date*
- Is This An Extension Or A New Application?*
- Original Start Date*
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- Does the contract company have a valid contract with GM³?*
- Has the applicant had any claims to Coal Mines Insurance?*
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- Has the applicant worked in the coal industry before?*
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- Has the applicant been an employee of GM³ previously?*
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- Is the applicant currently working at another GM³ site?*
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- Is the applicant banned from any GM³ site?*
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- Responsible Manager Approval*
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- Is Spend Budgeted?*
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- General Manager Approval*
- Is Spend Budgeted?*
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- HR Approval*
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- Approved Date*
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- Should be Empty: