INSTRUCTIONS



|2018 IELTS Preparation Course / 2019 DSSC Nomination and Personal Particulars Form |

|Course Name/s: |2019 DSSC |

|Course Dates: |- 2018 IELTS Prep Course 19 Feb - 18 May 18 |

| |- AMF Course 29 Oct - 09 Nov 18 (DITC) |

| |- 01/18 ADC Prep Course 12 Nov - 14 Dec 18 (DITC) |

| |- 2019 DSSC Jan-Dec 19 |

|Target Course: |2019 DSSC |

|To be returned by: |15 Jan 18 |

|English language requirements: |- To be eligible for the 2018 IELTS Preparation Course, candidates need to achieve the following ADFELPS |

| |levels by 15 Jan 18; S6, W6, L6, R6. |

| |- To be eligible for the DSSC, candidates need to achieve an IELTS-A level of 6.5 with no skills lower |

| |than 6 by 14 Sep 18. |

On completion, the form is to be returned electronically to all addressee listed below.

|DCO - Khun Sawitree Jongsuwat | |02 344 6386 |

| | |Sawitree.Jongsuwat@.au |

PERSONAL PARTICULARS

|Family Name: | |

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|Given Names: | |

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|Preferred Name/Nickname: | |

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|Gender: | |Date of Birth: | |

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|Have you attended Defence sponsored training in Australia? If so, | |

|when? | |

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|Have any of your Personal Particulars changed since your last course | |

|in Australia? If so, please advise the change. | |

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|Service (Navy, Army, Air Force, Civilian): | |Corps: | |

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|Rank/Grade: | |

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|Military ID or Service Number: | |

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CORRESPONDENCE

|Work address: | |

|Home address: | |

|Email address: | |

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|Phone numbers: |

|Work | |Fax | |

|Home | |Mobile | |

POSITIONS

Please indicate the positions held for the past 10 years, starting at current posting

|Year |Posting/Position (Job Held) |

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COURSES/QUALIFICATIONS

Please indicate all local, overseas and civilian courses completed during the past 10 years

|Year |Course |Qualification |Country |

| | |(if applicable) | |

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Target Course Information

|Target Course Name: |2019 DCSP |

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Candidate ADFELPS Profile:

|Date of Test: | |S - | |L - |

|Speaking | | | |Listening | | | |

|Reading | |

|Supervisor’s Signature | |Date: | |

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