"*" indicates required fields Position Applied For Skipper Engineer Mate Deckhand Cook Full Name* First Last Home Address Street Address Address Line 2 Suburb State Post Code Email Address* Australian Mobile Number* Qualifications/Tickets/Certifications Add RemovePlease provide details of your level of fishing experience including time at seaPlease read and confirm the belowAll crew positions require sight, hearing, and mobility, the ability to lift heavy weights, to push and pull, to carry and to bend. Living in such close proximity with others for a long period of time means that crew are more susceptible to contagious disease or illness. The isolation of the vessel from land means that emergency treatment or the supply of medication is not immediately available.Are you able to perform the physical duties required in this position, which may include freezer work? Yes No Have you been previously diagnosed with, or currently suffer from an injury, physical condition or mental illness which would prevent you from safely performing the work duties or that could be aggravated / enhanced by the work duties? Yes No If Yes - please specify:Have you previously had any back pain, back injury or currently require the wearing of a back brace? Yes No If Yes - please specify:Have you been previously diagnosed with, or currently suffer from an illness or disease which could be transferred to other crew members? Yes No If Yes - please specifiy:Do you suffer from any mental or physical illness or disease that may require treatment? Yes No If Yes - please specify:Do you require medication? Yes No If Yes - please specify:Do you have any allergies? Yes No If Yes - please specify:Do you have any adult Commonwealth or territory convictions which are less than 10 years old, or juvenile Commonwealth or territory convictions which are less than 5 years old which relate to this position (e.g. for theft, assault)? Yes No Do you have any convictions for Commonwealth or territory offences which are over 10 years old (or 5 years for juvenile convictions) where the sentence imposed was imprisonment for a period greater than 30 months which relate to this position (e.g. theft, assault)? Yes No I am aware that fishing can/may involve long hours of arduous work? (upside is more catch more income) Yes Are you aware that you would be a member of a Joint Venture agreement and paid a percentage of the value of the catch? Yes Are you aware that your airfares, food and insurance will be deducted from your earnings? Yes The Skipper, Engineer, Mate, Deckhands, Cook & any other crew Join a Joint Venture Partnership. The skipper being Manager of the Joint Venture Partnership enters into an agreement with A Raptis & Sons to share in the proceeds of the sale of the catch. The skippers will then advise each joint Venturer of his/her share.Do you understand that the Skipper of the vessel is the Managing Joint Venture Partner with Raptis and you are to deal with the Skipper on all issues and queries? Yes No I understand that I am NOT an employee of Raptis but an independent contractor and part a Fishing Joint Venture Yes I understand that the catch value is the only form of income for each Venture Partner Yes Do you have an Australian Tax File Number? (ATFN) Yes No Do you have an Australian Business Number? (ABN) Yes No Be aware we make all payments by EFT into a nominated Australian bank account only? Yes I understand that I need to make my own way to and from the operating base for the vessel whether it be Cairns, Karumba, Darwin or any other base, at my own cost? Yes I understand that a minimum of 20% tax will be deducted from my earnings from each trip payment and paid to the Australian Tax Office? Yes If you are an overseas applicant, have you been advised to take out insurance to cover medical expenses whilst working in Australia? Yes No I understand that I am signing on for the entire/remainder of the season? Also, that penalties may be applied, if crew have to be replaced during this season? Yes I am 16 years old or over (min AMSA age is 16 years) Yes Please be aware that there could be insurance implications with age restrictionsNote The possession of recreational drugs in any form is a criminal offence. Any crew member found in possession of, or using same on any Raptis boat or property will be instantly dismissed. The use of alcohol on board vessels is at the skipper’s discretion and must be in moderation. No weapons or firearms are allowed. Any crew member found in possession of or using same at sea or on board will be instantly dismissed.DeclarationI declare that all the information given in this application form is true and correct and that I have not withheld information relevant to this application.* Yes Name*