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HTML Preview Application Cover Sheet page number 1.
1
A
p
p
l
i
c
a
t
i
o
n
C
o
v
e
r
S
h
e
e
t
To assist in pro
cessing you
r application, p
lease compl
ete this form and submit it with
your
application.
Position applie
d for:
Reference Number:
Position Title:
Personal details:
Title:
Choose an ite
m.
Surname:
Given name:
Address for co
rrespondence:
Date of birth (op
tional):
May we contact
you at wo
rk?
Choose an ite
m.
Daytime Contact Ph
one Number:
Alternative Con
tact Phone Numbe
r:
E-mail Address:
Please note: und
er subsection 22(
8) of the
Public Servi
ce Act 1999
, empl
oyees must be Austr
alian citizens
to be engaged in
the APS unless the
delegate has agr
eed, in writing,
to the con
trary. The NBA requ
ires
that candidates be Au
stralian
citizens or permanen
t residents who are
eligible to
apply for citizenship and
have eviden
ce
that they are in the
process of d
oing so.
I am an Australian Citiz
en:
Yes
No
Current employmen
t details:
Are you employed
in the APS?
Choose an ite
m.
If yes, Name of Depa
rtment/A
gency:
AGS number:
Substantive Class
ification:
Choose an ite
m.
Actual Classifi
cation:
Choose an item.
Do you have an Aus
tralian
Government Securi
ty Clearance?
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