Talk to us about how Relines Australia can add value to your business today.

Perth (Head Office)

Street Address:
130 Mills Street
Welshpool WA 6106

Postal Address:
PO Box 623
Welshpool DC WA 6986

Phone:1300 473 546
Fax:08 6210 1464


South Africa

Phone:+27 837 810 920
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Please complete the application form in full and provide copies of any certificates / licenses that you have. No guarantee of employment is given by the completion of this form. Your information will be held confidentially for the purposes of assessing your suitability for any upcoming work opportunities

Personal Details


Are you of Aboriginal or Torres Strait Islander descent?:

How did you hear about us?:

Emergency Contacts


Work Eligibility
Are you legally entitled to work in Australia without a visa?:

If you are not an Australian resident/citizen, you must show that you possess an immigration visa that allows you to work in Australia.


Please tick to show which items you possess.

Employment History

Please note that any referees you list below may be contacted as part of our recruitment process.



Criminal Convictions

It is a requirement by many of our Projects that our personnel provide a Police Clearance or undergo a screen by the Gold Services Detection Unit.

Do you have any criminal convictions or pending charges?

If you have answered yes, please provide details:


I declare that the information I have provided on this form is true and correct. I understand that deliberate omission of information may subject me to instant dismissal. I authorise Relines Australia to contact my referees as listed above.

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