NZ & Australian graduates

Simply complete the information below.
Please provide as much information as possible, as this will help us identify the most appropriate position for you.
Our minimum requirement for documentation is an up to date C.V. and contact details for at least two referees.

New Zealand Australia
Email enquiries@kiwisstat.com   enquiries@ausstat.com.au
Fax +64 3 339 0598 1800 422 901

NZ & Australian Graduates
First Name : 
Middle Name : 
Last Name : 
Preferred Name : 
 
Street No. & Name : 
Suburb 
City : 
Postcode : 
State : 
Country : 
Email address : 
2nd Email address : 
Home Phone : 
Mobile Phone : 
Work Phone : 
Date of Birth : 
Passport Country : 
Other Passports : 
Graduation Country : 
Graduation Month/Year : 
Fellowship Month/Year : 
Available from : 
Available to : 
Which current practicing registrations do you hold :
Where would you like to work :
What type of work are you interested in :
How did you hear about us ?
If you were referred by a friend, please tell us their name and email.
Scrubs size : 

By making available your CV and at least two current referees you are providing us with the information we need to assess the level of work we will be able to offer you.
Please note that referees must be senior medical colleagues who are familiar with your current professional practice.
Once you have provided your referee details we may request your references at any stage, unless you advise us otherwise.
Please ensure your CV complies with our minimum standards checklist
Please attach your CV in either Microsoft Word (.doc) or Acrobat (.pdf) format only :
 Please do not contact my referees at this stage
 
Certified copy of your Primary Degree
Certified copy of your Fellowship
Certified and SCANNED copy of your current passport photo page and visa page (if relevant)
Certified and SCANNED copy of your drivers licence

Who can certify documents?

If you are unable to provide these documents at this time, please forward to us by fax or email.
 I agree that the details I have provided are true and correct.