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2018 IELTS Preparation Course / 2019 ACSC Nomination and Personal Particulars Form

Course Name/s:
/ 2019 ACSC
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 ACSC Jan-Dec 19
Target Course:
/ 2019 ACSC
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 ACSC, 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

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)

COURSES/QUALIFICATIONS

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

Year / Course / Qualification
(if applicable) / Country

Target Course Information

Target Course Name: / 2019 DCSP
Candidate ADFELPS Profile:
Date of Test: / S - / L - / R - / W -

*Note this profile is valid for only 12 months and candidates will not be retested for 3 months after test date.

Example only: Listening / 13c / Rater: / TH 980226
Speaking / Listening
Reading / Writing
Name and Rank of Supervisor
Supervisor’s Signature / Date:

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