Commonwealth Telecommunications Organisation
TITLE: / Consultant (individuals) for producing events of the Commonwealth Telecommunications Organisation
THE EVENT:
Please indicate the event(s) you wish to produce
CLOSING DATE: /

9 April 2018

Surname / Other Names
Date of Birth / Preferred Title (e.g. Mr, Miss, Mrs, Ms)
Home Address / Home Telephone (including country code)
Mobile Telephone
Email Address / Work Telephone (if it is convenient for contacting you)
Academic Qualification and Training
(You may later be required to produce evidence of these qualifications)
Dates
From To / Name & address of Institution / Examinations Passed
Awarding body
/
Qualification
/
Grade
Other Qualifications held / Dates Awarded
Are you a member of a professional body? Yes No
If yes, please specify :
Language Proficiency
(grade whether basic, good or excellent)
Language / Spoken / Reading/Writing / Translation Experience
Employment History
Dates
From To
DD/MM/YY / Employer’s name & address / Job Title
Brief summary of duties and reasons for leaving
Specific conference production experiences
(Please list event titles, dates, locations and brief descriptions of no more than 200words of events you have produced)
Please describe in no more than 500 words why you believe you are uniquely qualified for this position
Expected remuneration
Please indicate the remuneration you expect
Expected fee: £
Will you undertake sponsorship sales: Yes/No / What is the percentage of the net revenue you expect to receive:
Will you undertake delegate sales: Yes/No / What is the percentage of the net revenue you expect to receive:
I declare that the information set out in this application form is true, accurate and complete. I also understand that if I have omitted facts that may have a bearing on my application, or if there are any anomalies on this form these will be explored by the CTO. Any false statement will result in rejection as a candidate and/or dismissal if appointed, and if appropriate, possible referral to the police.
In accordance with the Data Protection Act, I expressly agree that the CTOmay use and process the information on this form as necessary, and for any legitimate purposes of the organisation.

Signed

/

Date

Media
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COMMONWEALTH TELECOMMUNICATIONS ORGANISATION
64-66 Glenthorne Road, London W6 0LR, United Kingdom | Tel: +44 (0) 20 8600 3800

Fax: + 44 (0) 208600 3819 | Email:| Website: