Thank you for taking the time to complete this application for employment.

Please take a moment to read the following candidate employment application declaration. After doing so please check the box as an acceptance of this declaration and to indicate that all information provided by you in this Application for Employment Registration is true and correct.

DECLARATION (Personal Information & Aptitude Testing)

I understand that any offer of employment to me by any member of Flavorite Hydroponic Tomatoes Pty Ltd (“the Company”) is based on the accuracy of the information provided by me in this application, attached resume/CV, skills experience & capabilities record and any other employment related documents, and I declare that such information is, to the best of my knowledge and belief, true and correct.

I understand that if any of the information provided by me is false or if I have not disclosed any information to the Company which would significantly affect its decision about whether or not to employ me, my offer of employment may be withdrawn or my employment terminated.

I acknowledge that if I do not disclose information regarding any pre-existing injury or disease which I know about and which may affect my employment and my injury or disease recurs or gets worse in the course of my employment, the relevant State
Compensation Act states that I may not be entitled to be paid workers compensation for that pre-existing injury or disease.

I understand and agree that the Company will collect from me and from other persons [such as past employers, referees (whether or not nominated by me) and persons who test my suitability for employment generally, or employment in a particular field] personal information about me for the purpose of assessing my suitability for employment with the Company and, should I become employed by the Company, for the following purposes:

• Managing its employment relationship with me; and
• Conducting its business
• For the same purposes outlined in paragraph 2, I agree that the Company may use this personal information about me and disclose it to:
• contracted service providers which the company uses to perform services on our behalf (such as banks, payroll service providers, logistics and IT service providers);
• regulatory organisations, such as those regulating superannuation and occupational health and safety; and
• check my Australian and New Zealand work rights eligibility with the Australian Department of Immigration and Citizenship.

I acknowledge that if I do not provide this information, the Company may not be able to process my application for employment.

I may have the right to access personal information, which the Company holds about me subject to any exceptions in relevant privacy legislation. A charge may apply for providing access. For more information contact:

The HR Manager for
Flavorite Hydroponic Tomatoes Pty Ltd
PO Box 739
WARRAGUL
VIC 3820

I consent to participate in any applicable suitability tests administered by the Company or its Clients and for the results of any tests (including medical or aptitude tests) to be disclosed to and used by the Company. I acknowledge that the test results and associated documentation are confidential to the Company and the person or entity carrying out the tests, and that I will not be able to gain access to them.

In the event that I am offered employment, I agree to abide by the Policies and Procedures of the Company.

Please tick this box if you agree with the above.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

   Digits only or add + for international numbers

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. LinkedIn URL

   (Please click on your profile and copy the URL from your profile page.)

1. What is your English/Preferred name? *
2. Do you hold a current Visa that allows you to work in Australia? *

   1. Yes
   2. No
3. Have you previously worked for Flavorite? *

   1. Yes
   2. No
4. If you have previously worked for Flavorite please provide your employee number.
5. Please specify your current Visa type by choosing one of the following:* Working Holiday visa (subclass 417) - 1st Working Holiday visa (subclass 417) - 2nd Special Program Visa (Subclass 416) Temporary Work (Skilled) visa (subclass 457) Work and Holiday visa (subclass 462) Temporary Graduate (Subclass 485) Partner visa (subclasses 820 and 801) Student Visa with working entitlements Other
6. Please specify your Visa expiry date. (DD/MM/YYYY)*
7. Please specify your date of birth. (DD/MM/YYYY) *
8. Please provide your passport number. *
9. Please provide your passport expiry date. (DD/MM/YYYY)*
10. Please provide your passport issuing country.*
11. How long can you work at Flavorite? *

    1. Less than 6 months
    2. 6 months
    3. 6 months to 1 year
    4. 1 year or more
12. How much notice do you require to start work? *

    1. I can start immediately
    2. In 1 - 2 weeks
    3. In 2 - 4 weeks
    4. In 1 - 2 months
    5. In 2 - 3 months
    6. Greater than 3 months
13. If you are travelling with friends that want a job with Flavorite please write their full names below. Your friends must submit an application in order to be considered. Please write their name/s in this format: (First Name, Last Name, English Name)
14. Are you currently being treated by a registered health practitioner for any condition or injury that may interfere with your ability to work? *

    1. No
    2. Yes
15. Are you currently taking any prescribed medication that may interfere with your ability to operate machines? For example medication that causes drowsiness? *

    1. Yes
    2. No
16. Do you have any medical conditions that might affect the health and safety of yourself or others? *

    1. Yes
    2. No
17. Do you have difficulty with any of the following (If you do not suffer from any of the below please check the last box 'I do not have difficulty with any of the above'):*

    1. Working at Heights
    2. Walking/standing for long periods
    3. Lifting/carrying or moving weights
    4. Bending or twisting
    5. Sitting for long periods
    6. I do not have difficulty with any of the above
18. Do you experience or suffer from any of the following conditions or have you ever had difficulties with the following (if you do not suffer from any of the following please check the last box 'I do not suffer from any of the above conditions')*

    1. Hearing loss, difficulty hearing or ringing in the ears (tinnitus)
    2. Back or neck pain or injury
    3. Colour blindness
    4. Arthritis, rheumatism or joint pain
    5. Poor balance and/or vertigo
    6. Occupational Overuse Syndrome or Repetitive Strain Disorder
    7. Shoulder/arm/wrist/hand/finger conditions
    8. Skin disorders/conditions
    9. Knee/ankle/foot conditions
    10. Any additional Medical conditions we should be aware of
    11. I do not suffer from any of the above conditions
19. Some roles will require you to wear safety or personal protective equipment such as footwear, safety harness, ear plugs or respiratory protection. Are you able to wear all safety and personal protective equipment? *

    1. Yes
    2. No
20. Thank you for taking the time to complete this application for employment. Finally please take a moment to read the following candidate employment application declaration. After doing so please click I agree as an acceptance of this declaration and to indicate that all information provided by you in this Application for Employment Registration is true and correct. *

    1. I understand
21. DECLARATION (Personal Information) I understand that any offer of employment to me by any member of Flavorite Hydroponic Tomatoes Pty Ltd (“the Company”) is based on the accuracy of the information provided by me in this application, attached resume/CV, skills experience & capabilities record and any other employment related documents, and I declare that such information is, to the best of my knowledge and belief, true and correct. I understand that if any of the information provided by me is false or if I have not disclosed any information to the Company which would significantly affect its decision about whether or not to employ me, my offer of employment may be withdrawn or my employment terminated. I acknowledge that if I do not disclose information regarding any pre-existing injury or disease which I know about and which may affect my employment and my injury or disease recurs or gets worse in the course of my employment, the relevant State Compensation Act states that I may not be entitled to be paid workers compensation for that pre-existing injury or disease.*

    1. I agree
22. DECLARATION (Personal Information & Aptitude Testing) I understand and agree that the Company will collect from me and from other persons [such as past employers, referees (whether or not nominated by me) and persons who test my suitability for employment generally, or employment in a particular field] personal information about me for the purpose of assessing my suitability for employment with the Company and, should I become employed by the Company, for the following purposes: • Managing its employment relationship with me; and • Conducting its business For the same purposes outlined above, I agree that the Company may use this personal information about me and disclose it to: • contracted service providers which the company uses to perform services on our behalf (such as banks, payroll service providers, logistics and IT service providers); • regulatory organisations, such as those regulating superannuation and occupational health and safety; and • check my Australian work rights eligibility with the Australian Department of Immigration and Citizenship. *

    1. I agree
23. In the event that I am offered employment, I agree to abide by the Policies and Procedures of the Company.*

    1. I agree
24. ‘Have you been referred by a current Flavorite employee? If YES, please provide their Full Name and Employee Number below (please provide details for ONE employee only). If NO, please write ‘no’. *