Team Obair Registration

RM_Stats
Details
User Experience
Medical
Signature
First Name^*
Last Name^*
Country of Birth^*
Nationality
Select the country of your nationality
Date of Birth^*
Email^*
Address^*

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Street Number

Street Address

City

State

Country

Zip Code

Mobile Number (please include country code e.g +353 87 123 4567)
Gender^*
Male

Female

Emergency \ Alternative Contact Name
Emergency\Alternative Contact Mobile Number (Please enter country code as well, e.g. +353 87 123 4567)
Do you have Transport^*
Do you have an Irish PPS Number^*
Yes

No

Irish PPS Number
Do you have a Irish Bank Account or Revolut Account^*
Yes

No

Bank Account IBAN
Bank Account BIC
Are you currently in employment^*
Yes

No

Have you previously registered with Team Obair?^*
Yes

No

Date available from for work?
Position applied for?
Please upload your CV
Previous Employer
Name of previous employer
Contact at previous employer
Phone number of contact at previous employer
Do you have experience in any of the following jobs
Warehouse
Yes

No

Admin
Yes

No

Voice Picking
Yes

No

Supervisor
Yes

No

Reception Duties
Yes

No

Data Entry
Yes

No

Microsoft Office
Yes

No

Do you have experience with any of the following equipment

Counter Balance Forklift
Yes

No

Do you have a license for Counter Balance forklift?
Yes

No

Power Pallet Truck (ROPPT)
Yes

No

Do you have a license for Power Pallet Truck (ROPPT)?
Yes

No

Long Leg Order Picker (LLOP)
Yes

No

Do you have a license for Long Leg Order Picker (LLOP)?
Yes

No

Reach Forklift
Yes

No

Do you have a license for Reach Forklift?
Yes

No

Narrow Aisle / VNA Forklift
Yes

No

Do you have a license for Narrow Aisle / VNA Forklift?
Yes

No

Manual Handling
Yes

No

Do you have a manual handling cert
Yes

No

Driving Experience
Do you have an Irish Driving License^*
Yes - Full License

No

Yes - Learner Driver (L Plate)

Yes - Novice Driver (N Plate)

What driving Categories are you licensed for (check back of license)
AM - Moped

A1 - Motorcycle under 125CC/ 11KW

A2 - Motorcycle under 25KW

A - Motorcycle

B - Standard Car License

BE - Car and Trailer under 750KG

W - Tractor

C - Work Vehicle over 3500kg

CE - Work Vehile and Trailer

C1E - Work Vehicle and Trailer over 12000kg

D - Bus more than 8 passengers

DE - D Category with Trailer over 750KG

D1 - Bus up to 16 passengers

D1E - D1 Category with Trailer over 750KG

Have you Ever?
Had an Operation^*
Yes

No

Operation details
Been seriously injured^*
Yes

No

Injury Details
Been refused or dismissed from employment for health reasons?^*
Yes

No

Dismissed / Refused Details
Been in an accident that caused you any injury?^*
Yes

No

Injury details
Do you have or have ever had?
Heart Trouble?^*
Yes

No

Heart Trouble Details^*
Lung \ Breathing Trouble?^*
Yes

No

Lung Trouble Details^*
Epilepsy / Fit?^*
Yes

No

Epilepsy / Fit Details^*
Hand / Arm Trouble?^*
Yes

No

Hand / Arm Trouble Details^*
Leg / Knee Trouble?^*
Yes

No

Leg / Knee Trouble Details^*
Eye Condition?^*
Yes

No

Eye Condition Details^*
Corrective Lens Required?^*
Yes

No

Corrective Lens Required Details
Hearing Problems?^*
Yes

No

Hearing Problems Details
Back Trouble?^*
Yes

No

Back Trouble Details
Fear of Heights?^*
Yes

No

Colour Blindness?^*
Yes

No

Eczema or Psoriasis?^*
Yes

No

Dyslexia?^*
Yes

No

Do you?
Take medicine regularly ?^*
Yes

No

Medicine Details
Suffer from Asthma?^*
Yes

No

Suffer from Migraine?^*
Yes

No

Suffer from Anaphylaxis (Allergy to nuts)^*
Yes

No

Suffer from any other ailment or condition?^*
Yes

No

Suffer from any other ailment or condition details
Are you fit for work that requires you to?
Lift?^*
Yes

No

Lifting Details
Carry?^*
Yes

No

Carry Details
Stand?^*
Yes

No

Stand Details
How many sick days illness have you had in the past year?
Employment References^*
I hereby give consent to Team Obair to obtain employment references from previous employers
Yes
GDPR Compliance^*
I hereby give consent to Team Obair to hold my details on their database for a period of 2 years in compliance with GDPR. GDPR is a regulation in EU Law on data protection & privacy for all individuals within the EU. effective from May 25th 2018
Yes
Share CV^*
I hereby give consent to Team Obair to share my CV with their clients for potential employment purposes
Yes
Registration assignment^*
Should I be placed on assignment with Team Obair, I hereby give consent for Team Obair to send a copy of this registration form and any training records to their client I am on assignment with
Yes
Add to Team Obair Database^*
I hereby give consent for the information on this confidential application form to be included on the Team Obair database
Yes
Declaration^*
The information provided in this Registration From is correct and can be verified by reference from previous employers and/or any professional bodies specified. I also undertake to inform Team Obair of the outcome of all introductions / Interviews to companies or agents. I hereby declare that I have no unspent convictions and there are no prosecutions pending at this time. I also undertake to inform Team Obair of any prosecutions that occur whilst Team Obair holds my details. Should I become a Temporary Worker with Team Obair, I confirm I will have read and accepted the issued Terms of Engagement for Temporary Workers document which also confirms the minimum hourly rate of pay I will be paid for temporary assignments. I will comply to the Health & Safety regulations of all the companies / agents I am assigned to
Yes
Signed^*

Previous Employer

Do you have experience in any of the following jobs

Do you have experience with any of the following equipment

Driving Experience

Have you Ever?

Do you have or have ever had?

Do you?

Are you fit for work that requires you to?

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