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: | |
| | |
|Given Names: | |
| | |
|Preferred Name/Nickname: | |
| | |
|Gender: | |Date of Birth: | |
| | |
| | |
|Have you attended Defence sponsored training in Australia? If so, | |
|when? | |
| | |
|Have any of your Personal Particulars changed since your last course | |
|in Australia? If so, please advise the change. | |
| | |
|Service (Navy, Army, Air Force, Civilian): | |Corps: | |
| | |
|Rank/Grade: | |
| | |
|Military ID or Service Number: | |
| | |
CORRESPONDENCE
|Work address: | |
|Home address: | |
|Email address: | |
| | |
| | |
| | |
|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 |
| | |
Candidate ADFELPS Profile:
|Date of Test: | |S - | |L - |
|Speaking | | | |Listening | | | |
|Reading | |
|Supervisor’s Signature | |Date: | |
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