Indus Time - Application Form.

1
What is your name?* This field is required.
Mr.
Mr.
Mrs.
Miss
Ms
Mx.
Ind.
Prefix
First Name
Middle Name
Last Name
2
How to Save - STEP 1Click on the "Question Numbers" at the bottom of the screen to bring up the "Save Button"
3
HOW TO SAVE - STEP 2CLICK ON THE SAVE ICON CIRCLED IN RED AT THE TOP OF THE PAGE.
4
How to Save - STEP 3Connect with Facebook, or simply create a basic account with an email address (recommended)
5
How to Save - Step 4Type in your email, and press "SEND LINK"
6
Do you have a preferred nickname?eg. What would you prefer to be called by our staff. Eg. Your name maybe Jonathan, but you prefer to be called Johnny.
7
What is your Home Address?* This field is required.
Street Address
Suburb
City
Please Select
Please Select
Auckland|Bay Of Plenty|Waikato|Christchurch|Wellington
Region
Postal Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Home Phone Number
Area Code
Phone Number
9
Work Phone Number
Area Code
Phone Number
10
Mobile Phone* This field is required.This is required for job alerts from our system
021 or 027 or 022 or 021
Phone Number
11
Alternative Phone Number?
Area Code
Phone Number
12
Email* This field is required.
example@example.com
Confirm Email
13
Bank Account No.* This field is required.For us to pay you :)
If the last part of your bank account number is only 2 digits, please enter a 0 before it, eg. if its '12', enter '012'
14
Bank Name* This field is required.
Please Select
Please Select
ANZ
BNZ
Westpac
Kiwibank
ASB
HSBC
Rabobank
Westforce Credit Union
Credit Union
Cooperative Bank
TSB Bank
15
What branch of the bank?
16
What name is the account under?* This field is required.
17
Is this account in someone else’s name and not yours?* This field is required.
Yes
No
18
What is your IRD Number* This field is required.enter in the format 12345678
19
Tax Code
M
M
M SL
ME
ME SL
SB
SB SL
S
SL
SH
SH SL
ST
ST SL
CAE
EDW
NSW
WT
STC
20
What is your Birth Date?Note: This is not compulsory, however we occasionally send out birthday wishes that sort of thing.
21
What Ethnicity are you?Note: This is not compulsory to enter.
22
Residency Status* This field is required.
Work Visa
NZ Resident
NZ Citizen
Visa
23
What type of Visa?
Work
Student
Visitor
24
When does your Visa expire?
Date
Year
Month
Day
25
If you are a resident, how long have you lived in NZ?in years
26
Company you worked at.
27
Where was the company located?
28
What was your position?
29
What was your hourly rate?
30
When did you work there?Enter start date and end date.
31
Reason for Leaving?
Redundancy
End of Contract
Resignation
Sickness
32
Manager's First and Last NameEnsure you enter both FIRST and LAST name please.
33
Manager's Role
34
Employer's Phone Number
35
Employer's Email
36
Is this referee a friend or relative?
YESNO
37
Authority to contact this employer for a referencePlease sign below
Clear
38
What Safety Equipment do you have?* This field is required.Please tick as many as you have OR if you have no equipment, then select that option
Steel Caps
Vis Vest
Overalls
Ear muffs
Hardhat
Safety glasses
No Equipment
Lace Up Steel Caps Gum Boots
Steel Caps Gum Boots
39
Where are you prepared to travel to get to work?* This field is required.Please tick as many suburbs as you can get to, or if you can reach any areas, or any South, North, East or West then select those options.
All of Auckland Suburbs
All South Suburbs
All Central Suburbs
All Northern Suburbs
All Western Suburbs
Onehunga
Penrose/Ellerslie
Mt Wellington
GI/Panmure
Pakuranga/Howick
East Tamaki/Otara
Mangere
Otahuhu
Airport/Airport Oaks
Manukau
Takanini/Manurewa
City
Grey Lynn
Grafton
Ponsonby
New Market
Mt Eden
Morningside
Parnell
Mt Albert
Avondale
Henderson
New Lynn
Lincoln
Greenhithe
Northcote
Birkenhead
Takapuna
Mairangi Bay
Glenfield
Albany
Orewa
Silverdale
40
Are there any products or materials you can’t handle?
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Ok
41
Are there any times of the year you cannot work for whatever reason?
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Ok
42
Is there any commitments that you have coming up that you will need to advise us?
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Ok
43
Are you legally entitled to work in New Zealand?* This field is required.
YESNO
44
If a job which requires drug & alcohol testing, would you pass? * This field is required.
YESNO
45
What Driver Licenses do you have?* This field is required.Please tick as many as you have OR if you have no License, then select that option
(1L) Learners
(1R) Restricted
(1) Full Car
(2L) Truck Learners
(2) Light Truck
(3)Truck &Trailer
(4) Heavy Truck
(5) Heavy Truck & Trailer
(6) Motorbike
(D)Dang. Goods
(P) Passenger
(V) Vehicle Recovery
(I) Instructor
(O) Testing Officer
(R) Rollers
(W) Wheels
(F) Forklift
No License
Disqualified
46
What is your NZ Drivers License No.?
47
NZ Drivers License Expiry
Date
Year
Month
Day
48
Forklift Expiry
Date
Year
Month
Day
49
Stock Picker Expiry
Date
Year
Month
Day
50
Reach Certificate Expiry
Date
Year
Month
Day
51
Have you ever been convicted of a criminal offence? * This field is required.
YESNO
52
Have you ever been in prison?* This field is required.
YESNO
53
Do you have any criminal charges pending?* This field is required.
YESNO
54
Do you have any outstanding fines?* This field is required.
YESNO
55
If yes to any of the above, when were your most recent offences? Please be as accurate and detailed as possible thanks.
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56
If yes, what charges have you had over the last 7 years?Please be as accurate and detailed as possible thanks.
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Ok
57
Have you ever been convicted, charged or have pending charges for any transport offences?* This field is required.
YESNO
58
If yes to transport offences, please list the charges below:Please be as accurate and detailed as possible thanks.
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Ok
59
I hereby declare that my criminal, drug & transport history is true and correct.* This field is required.Please sign below.
ClearPlease sign to confirm your declaration is accurate.
60
Do you suffer from any of the following injuries or illnesses or conditions?* This field is required.
Allergies
Eye Trouble
Neck Injury
Alcohol or Drug problems
Foot Injury
Nervous Disorder
Anxiety
Hand Injury
Occupational Overuse Syndrome
Arm Injury
Hay Fever
Other bone injury
Asthma
Head injury/concussion
Psychological Problems
Back Injury/pain
Hearing Trouble
Rheumatism/Arthritis
Backaches
Heart Condition
RSI
Chest pain
Heart Murmur
Shoulder Injury
Depression
Hepatitis/HIV
Skin Problems
Dermatitis/Eczema
Hernia
Stress
Diabetes
High Blood Pressure
Tinnitus
Ear Problems
Leg Injury
Wrist Injury
Epilepsy/Fits
Migraine
No Medical Conditions
61
If you have ticked yes to any of the above, please provide details here:
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Ok
62
Are you on any medication? * This field is required.
YESNO
63
If on medication please let us know the details belowPlease note this question is asked for health and safety reasons, if you suffer from a disability due to drug use you do not have to answer this question)
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Ok
64
Are you receiving or have received any medical treatment recently?* This field is required.
YESNO
65
Have you ever been advised to change jobs for medical reasons or slow down or reduce your activities on a job? * This field is required.
YESNO
66
If you answered yes to the last question please provide details below thanks.
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Ok
67
Have you ever had or been screened and tested positive for Covid 19?* This field is required.
YESNO
68
Have you lived with anyone that has had Covid-19?* This field is required.
YESNO
69
Have you been advised by a medical professional to self-isolate due to Covid-19?* This field is required.
YESNO
70
If you answered YES to the last question when is the isolation period over?
Date
Day
Month
Year
71
Are you living with or been in contact with someone that has arrived into the country and is self-quarantining?* This field is required.
YESNO
72
Have you been screened for Covid-19 and waiting on results?* This field is required.
YESNO
73
Have you been screened for Covid-19 and showed negative?* This field is required.
YESNO
74
If screened negative, how long ago was this?
75
Are you living with or been in contact with someone that has been tested for Covid-19 and is still waiting on results?* This field is required.
YESNO
76
Emergency Contact* This field is required.
First Name
Last Name
77
Emergency Contact Relationship* This field is required.eg. mother, friend
78
Emergency Contact Phone* This field is required.
Area Code
Phone Number
79
Emergency Contact Address
Street Address
Suburb
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
80
Education Levels* This field is required.
Accounting Training
Operations Training
Administration Training
Payroll Training
Building Training
Production Training
Business general training
Quality Control Training
Carpentry Cert
Reach truck Certificate
Computers Training
Retail Training
Customer Service Training
School certificate:
Dangerous Goods Training
Site Safe Pass
Electrical or Electronic Training
STMS certs
Emergency Training
Stock Picker Certificate
Engineering Qualifications
Supervisory Training
First Aid Training
Supply Chain & Logistics Training
Food Safety Courses
Traffic Control cert:
Forklift Certificate
Transport & Logistics Training
Freight Cert
Travel & TourismTraining
Hospitality Training
University Entrance
Information Technology Training
University Qualifications:
Machine Operating Training
Warehousing Certificate
Management Training
Welding Certificates
Mechanical Engineering qualifications
NCEA Levels
No Education
81
What skills do you currently have?You can add as many as you like but please remember these are skills you HAVE CURRENTLY, not skills you are wanting to achieve in the future.
82
First Referee's Name
First Name
Last Name
83
Referee 1 Relationship / Employer Detailseg. enter company, job title or relationship to you
84
Referee 1 Contact Phone or Email
85
Is this referee a friend or family member?
YESNO
86
Second Referee's Name
First Name
Last Name
87
Referee 2 Relationship / Employer Detailseg. enter company, job title or relationship to you
88
Referee 2 Contact Phone or Email
89
Is this referee a friend or family member?
YESNO
90
I consent to Indus Recruitment collecting, maintaining, using and disclosing personal information about me and provided by me or by another person in accordance with the Privacy Act.* This field is required.Please type in your full name below.
First Name
Last Name
91
Agreement Date
Date
Year
Month
Day
92
I declare that the information contained in this interview form was given voluntarily and to the best of my knowledge, and is correct in every detail. * This field is required.Please sign below.
Clear
93
Take a photo of yourself for your profile.Please ensure its a clear head and shoulders shot, and dont forget to smile :)
94
Please take a LEFT side profile photo of yourself
95
Please take a RIGHT side profile photo of yourself
96
Follow us on Facebook and get alerts when we have events and new positions.
97
Please upload a CV / Resume Here
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
98
Bank Statement No. PhotoTo ensure we got the right bank statement details, please take a photo showing your full bank account number so we can verify on our end. Thanks!
99
Driver License (Front)Please take a photo of your driver license (the front side)
100
Driver License (Back)
101
Take PhotoPlease update a valid passport or Photo ID for our records.
102
Work visa/ residency documentationPlease upload a photo proving your work visa or residency permit.
103
Work Safety InductionWe are going to send you our work safety induction PDF to your email and mobile shortly. Please sign below that you will received it and read it.
Clear
104
What position are you applying for with Indus?* This field is required.
105
Finally, what kind of work are you seeking, what pay rates and what availability?* This field is required.
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Ok
106
What type of work are you after?
Temporary Work
Permanent Work
107
Recommend a friend for work? Please enter their first name below.
108
If recommending a friend, please enter their mobile so we can text them out an invite.
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