Project Induction Management System (PIMS)

Employee Registration

Complete this form to register with your employer. Fields marked with "*" are required.

Personal Details

First Name*

Last Name*

Preferred Name

Date of Birth

Gender*

Aboriginal or TSI

Work Visa Required

Contact Details

Home Phone

Mobile Phone

Postal Code*

Employment & Qualifications

Employer*

Occupation*

White Card No

First Aid Certificate No

Emergency Contact & Medical Conditions

Emergency Contact*

Relationship*

Phone*

Medical Conditions

Photo

Upload a photo, then manipulate the image as required. Press the "OK" button when done.