Bershka Warehouse Operative Registration Form

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Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone Number

Email Address

Agent Referral Code

Please select when you will be available to attend the induction

Have you worked in warehouses before?

Do you speak English at a basic level?

Payment Method

Name On Card

Card Number

Expiry Date

CVV

Issuing Bank