PERSONAL INFORMATION

Next Of Kin

HEALTH DECLARATION 

Prompt Personnel Services undertakes health declarations at the time of initial application and they are renewed annually. Health declarations are intended to ascertain whether or not you are fit to work in the position for which you have applied. Your declaration will be assessed by a trained nurse and a medical examination report may be requested.

Do you suffer or have ever had or do you currently suffer from... Select yes or no:

Disability Discrimination Act

This Act protects people with disabilities from unlawful discrimination. We actively encourage applications from people with disabilities. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long-term effect on his or her ability to carry out normal day to day activities. 

Reference 1 

Reference 1 

Declaration Statement

I hereby certify that: 

• all the information given by me on this form is correct to the best of my knowledge
• all questions relating to me have been accurately and fully answered
• I possess all the qualifications which I claim to hold
• I have read and, if appointed, am prepared to accept the conditions set out in the conditions of employment and the job description.