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Target Application Form
SECTION 9 – DISCLOSURE OF PRE-EXISTING INJURY OR ILLNESS
Do you have any pre-existing illness or injury which may
impact on your ability to safely perform the inherent
requirements of the position(s) for which you have applied
(The inherent requirements of this position include repetitive
actions and physical work involving lifting and/or standing
for long periods.)
Yes
No
If the answer to the above question is “yes”, then please
disclose details of how the illness or injury might affect
your ability to safely perform the role(s) (eg. in relation to
lifting or carrying weights, bending, pulling, twisting,
standing or sitting etc).
If required, do you consent to having a medical examination
to determine your capacity to safely perform the inherent
requirements of the position for which you have applied
Yes
No
SECTION 10 PRIVACY STATEMENT
Personal information collected via this application will only be used for the purpose of recruitment by Target
Australia Pty Ltd.
The information you submit to us may be disclosed to referees, our team members who are involved in
recruitment or support roles, security organisations, recruitment agencies and other third parties who assist
us in the recruitment process.
If you choose not to provide any of the information requested, we may be unable to send you information,
fully process your application or properly consider you for employment.
Any information we collect about you in future will be used and disclosed in the same manner as described
above unless we tell you otherwise in advance. You may request access to personal information about you
that is held by us.
Consent and Warranty
I consent to Target Australia Pty Ltd using and disclosing my personal information in the manner describe
above.
I warrant that:
I have read and understand the above statement.
I am qualified to work in Australia, and if requested, can provide evidence of that fact (birth certificate,
citizenship certificate, photo ID and/or working Visa, as appropriate)
All the information I submit (including this form and any attached resume) is true and complete. I
understand that any false or misleading information I provide may lead to rejection of my application,
review of any employment I accept with Target Australia Pty Ltd and potentially my dismissal from
such employment.
I have disclosed all relevant information in relation to my mental and physical ability to safely carry
out the inherent requirements of the position(s) for which I have applied.
Name: ________________________
Signature: _____________________
Date: _________________________
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