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	* Surname
	* First name
	Date of birth (optional)
	* Street address
	* Suburb/town
	* Postcode
	* State
	* Home number
	* Mobile number
	* Email address
	Current job status
	Register for	Personnel   Civil   Rail
	Type of work registering for (eg. job specifics)
	Preferred workplace locations (eg. City or Town)
	Current Tickets/Licences Held
	Closest Online Personnel Office	Ballarat   Geelong
	Are you an Australian resident?	Yes   No
	Details
	CV attachment	Please email your CV to Ballarat Applications
		I hereby authorise my personal information to Online Personnel for registration.
		By Submitting this registration form, I acknowledge that I have read and accept the Privacy Collection Statement