Acsqhc Recruitment Personal Particulars Form Page 2
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1
2CURRENT EMPLOYMENT DETAILS
Are you currently employed in the Australian Public Service (APS)?
Yes
No
If yes, please complete the following:
Name of APS
Department/Organisation
Address
Postcode
Classification
Actual
Nominal
AGS Number
Length of Service
Years
Months
Please indicate your APS employment status: Permanent
Temporary
Fixed Term
If you are not currently employed in the APS, please complete the following:
Name of Employer
Your position in the organisation
Length of service
Years
Months
May we contact you at work?
Yes
No
Have you been retrenched from an Australian Public Service
employer in the previous 12 months?
Yes
No
Have you been retrenched from a non APS Commonwealth
Yes
No
employer in the last 12 months? (eg. a Statutory Authority)
Please indicate here, any times/dates that you would be
_______________________________
unable to attend an interview (e.g. will be on leave etc.)
First Referee Names
Classification/Position/Title
Telephone Number
Nature and period of relationship with
applicant
Second Referee Names
Classification/Position/Title
Telephone Number
Nature and period of relationship with
applicant
ACSQHC Recruitment Personal Particulars Form
Page 2 of 2
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