Personal Particulars Form

To assist Personnel/HRM in processing your application, please complete this form and attach it to the front of your application.   Any information that is used for statistical purposes will be treated confidentially.

Vacancy Details

Position/Reference Number
Classification
Branch/Section

Personal Details

Surname
First Name(s)
Postal Address	Postcode
Telephone	(Work) (Home)
Date of Birth

Gender                                                                                                    Male             Female 

Are you an Australian or New Zealand Citizen                              Yes      No

If no, do you have permanent residency status?                          Yes      No 

Are you a member of any of the following groups?                      Yes      No

An Aboriginal or Torres Strait Islander                                           Yes       No

From a culturally diverse background                                            Yes       No

A person with a disability?                                                               Yes       No 

If you require any equipment or assistance at interview, please detail here:   _____________________________

If you would require an interpreter for interview, please advise which language _____________________________

CURRENT EMPLOYMENT DETAILS

Are you currently employed in the Australian Public Service (APS)?                 Yes         No

If yes, please complete the following:

Name of APS Department/Organisation
Address	Postcode
Classification	Actual   Nominal
AGS Number
Current Salary Level	$
Current Salary Range	$
Length of Service	Years                      Months

Please indicate your APS employment status:   Permanent                Temporary            Non-ongoing

If you are not currently employed in the APS, please complete the following:

Name of Employer
Your position in the organization
Length of service	Years                    Months

May we contact you at work?                                                                       Yes                       No

Have you been retrenched from an Australian Public
Service Employer in the previous 12 months?                                      Yes                       No

Have you been retrenched from a non APS Commonwealth             Yes                       No
employer in the last 12 months? (eg. A Statutory Authority)

Please indicate here, any times/dates that you would be unable to attend an interview (e.g. will be on leave etc.) _____________________________

Where did you hear about this job?

                  
APS Jobs Website    
FSANZ Website
Seek.com
Press                         
Other                          

Signature  ……………………………………………………     Date……/……/……