Register Now Worker DetailsName(Required) First Middle Surname Date of Birth(Required) DD slash MM slash YYYY Email Mailing Address(Required) Street Address City State Post Code Phone(Required)QuestionsDescribe the type of work you perform(Required) (E.g. Electrician, labourer etc)Are you currently employed as a(Required) Employee Labour only contractor Date you commenced as a labour only contractor in the NT DD slash MM slash YYYY Employer name Employer address Street Address City State Post Code Contact person PhoneEmail Date you commenced with this employer DD slash MM slash YYYY Declaration(Required) I declare the details on this form are true and correct to the best of my knowledge CAPTCHA