Online Registration

Austwide Locums Online Registration

TO START THE REGISTRATION PROCESS, PLEASE COMPLETE THE FORM BELOW, CALL US ON 1300 885 449 OR EMAIL US USING CONTACT US FORM.

An Austwide Locums specialist placement consultant will contact you after you submit your application to help you with the registration process.

Once registered, you will be supplied with an ID Badge and given access to all shifts available on our website with your personal access code.

Name*
Title
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal/ Zip Code
Country
Gender
Contact Details
Phone*
Preferred Method of Contact*
Preferred time of contact.
 Yes No