Client Request Submit Form


Thank you for using our services. Please fill the form below. Note:
-	Please fill in the forms below, fields with a * sign are compulsory fields.
Client Request For Services Form
PrimeStaff stands ready to help you with all your staffing needs. Simply complete and submit the form below and we will be in touch with you real soon.

Company Information
	*Company Name:	(max 50 chars)
	Company Address:	*Line 1:	(max 30 chars)
		Line 2:	(max 30 chars)
		*City:	(max 30 chars)
		*State:	(max 30 chars)
		*Country:
		*Postcode:	(max 20 chars)
	Company URL:	http:// (max 50 chars)
Contact Person Information
	*Name:	*First Name:	Last Name: (max 15 chars each)
	Department:		(max 30 chars)
	*Designation title:		(max 15 chars)
	*Office Direct Line:		(max 30 chars)
	*Office Phone Line:		(max 30 chars)
	Mobile Phone:		(max 30 chars)
	*Email:		(max 40 chars)
Job Info
			(max 100 chars)
	*No. of Employment Needed:		(max 30 chars)
	*Please tick if position(s) is/are for:
			1) Permanent
			2) Contract, Duration of Contract: month(s)
			3) Temporary, Length of Assignment: month(s)
			4) Casual
			5) Others (max 100 chars)

	*Please tick if the position(s) requires Shift Duties:
			Yes
			No
			Others (max 50 chars)

	*Please copy and paste more detailed job description and requirments below:
			JOB DESCRIPTIONS: ================= 1) 2) 3) 4) JOB REQUIREMENTS: ================= 1) 2) 3) 4) 5) OTHERS: ======= 1) 2) 3) 4) 5) ======

Note: if you have problem submitting this form, please email admin@primestaffintl.com for assistance.