Only complete the Form below if you haven't done so already.

If you have already submitted the Night Worker Health Assessment Form, Kindly find it saved in My Account, under Registrations Section.


    
     
   
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Your Personal Details

Password must be at least 7 characters long.
Password must be at least 7 characters long.

Please complete this form to the best of your knowledge and tick the appropriate box(es). Please note that ticking YES does not necessarily mean you are unfit for night work (simply that we will need to refer you for further medical assessment)

By ticking the box I acknowledge that the answers to the above questions are correct to the best of my knowledge and that I am not otherwise aware of any physical or mental disability that will affect or may affect my ability to work Night shifts. I understand that if I have withheld information this may adversely affect efforts to place me in suitable employment.

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