EMPLOYMENT APPLICATION

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Transit Systems Sydney Bus Operations EMPLOYMENT APPLICATION Please return completed application to: Operations Manager Transit Systems PO Box 99 Moorebank NSW 1875

Position applied for: Desired employment status (full time, part time, casual): CONFIDENTIAL Please complete in BLOCK LETTERS Personal Details Family name Given names Address Post Code Date of birth Place of birth Contact phone numbers Day Mobile A/hours E-mail address Are you a permanent resident of Australia? Emergency contact name Emergency contact phone numbers Day Mobile A/hours Licence Details Licence No. Class(s) held Driver Authority No. (if applicable) Expiry Date Expiry Date Employment Application (8/10/2013) Page 2 of 6

Driving History (for Drivers only) Do you have any demerit points against your licence? Have you ever had your licence suspended? Have you ever had a driving conviction involving alcohol or prohibited drugs? Have you been charged with traffic offences including expiation offences over the last 10 years? Workers Compensation Have you ever made a claim for Workers Compensation or received a lump sum settlement payment? Criminal Convictions Are there any criminal convictions recorded against you? Employment Application (8/10/2013) Page 3 of 6

Medical Have you ever had or do you have a serious medical condition such as a heart attack, stroke, back injury etc? Have you a disability or impairment likely to affect or be aggravated by your work? Family Doctor Information Name/Address Contact No. What is your current weight? Kg Due to equipment restrictions in certain roles it is necessary for Transit Systems to employ staff who weigh less than 120kg. Experience & Skills What experience and skills do you have in handling cash or ticketing? What customer service experience and skills do you have in dealing with the general public? What experience do you have in operating a two-way radio? What experience have you had driving buses or heavy vehicles? What other experience and skills do you have that you believe are relevant to the position applied for? Employment Application (8/10/2013) Page 4 of 6

Employment History Period Employer Position / Role Contact name and details Reason for leaving Current or most recent Reference Information Provide three work related referees and contact telephone numbers Company Referee name and position Contact details Reference Checks Do you have any objections to Transit Systems obtaining information from your present or previous employers? Employment Application (8/10/2013) Page 5 of 6

Policy Applicant s attention is drawn to the following Transit Systems Policies: All Transit Systems worksites are alcohol and prohibited-drug free working environments. Smoking restrictions apply within all Transit Systems sites and vehicles. Transit Systems is an Equal Opportunity employer complying with Antidiscrimination and Privacy Legislation Applicants accepted into the employment of Transit Systems must comply with Company Code of Conduct. Declaration I declare that the information I have provided in this application is true and accurate in all respects I acknowledge that I may be required to provide proof of any statement made in this application and that any statement that is found to be false or deliberately misleading may cause my application to become invalid and, if accepted for employment, I may be liable for summary dismissal....... SIGNATURE OF APPLICANT DATE Privacy Statement: Transit Systems is collecting personal information through an application process to enable it to select and recruit staff. Transit Systems, its advisors and any persons engaged by them to assist in the selection and recruitment process may use and disclose your information for selection and recruitment purposes. This may include contacting any referee nominated by you. Please note that, in the event that your application with Transit Systems is successful, the personal information that Transit Systems holds about you which relates to your selection, recruitment and employment by Transit Systems will become an employee record under the Privacy Act (1988). This means that Transit Systems will generally be exempt from the requirements of the Privacy Act in respect of that information. Other statutory obligations may apply. Employment Application (8/10/2013) Page 6 of 6