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13 Railway Crescent
Hampton, Victoria 3188
Ph: 61 3 9521 0010
Fax: 61 3 9521 0371
ples@optusnet.com.au
x Employee registration form
 Profession:   *
 First name:   *
 Last name:   *
 Date available:   Select date from calendar
 Aus. Address:  
 Overseas Address:  
 Birthdate:   Day / Month / Year
Please enter in the format dd/mm/yyyy.
 Gender:   Male   Female   *
 Home phone:   *
 Work phone:  
 Mobile number:  
 Fax:  
 Email address:  
 Graduation year:  
 Graduation place:  
 Type of work preferred:   *
 Post-Graduate qualifications:  
 Aus. registration no. / Accreditation:  
 Attach CV:  
Use Browse to select your CV from your computer. Your CV can be in Microsoft Word or PDF format.
 Visa info:  
 Position no.:  
The specific position in which you\'re interested, as listed on the PLES website
 Preferred location:  
Your preferred location.
 Job preference:   Permanent   Locum   *
 Job hours:   Full time   Part time   *
 If part time, please specify days and times:  
 Referral:  
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