PERSONAL PARTICULARS

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* 1. PERSONAL PARTICULARS

EDUCATION

Degrees or diplomas with dates and institutions attended

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* 2. EDUCATION

Degrees or diplomas with dates and institutions attended

PROFESSIONAL QUALIFICATIONS and memberships
Name of professional body or bodies
Date and Result

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* 3. PROFESSIONAL QUALIFICATIONS and memberships
Name of professional body or bodies
Date and Result

PRESENT OR LAST EMPLOYER (if any)

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* 4. PRESENT OR LAST EMPLOYER (if any)

Describe your professional practise

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* 5. Describe your professional practise

RELEVANT EXPERIENCE TO THIS POST
Using the Personnel Specification, how do your skills, experience and abilities relate to this post?

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* 6. RELEVANT EXPERIENCE TO THIS POST
Using the Personnel Specification, how do your skills, experience and abilities relate to this post?

REFEREES
Please name three referees, who should have knowledge of you in a working/ academic capacity.

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* 7. REFEREES
Please name three referees, who should have knowledge of you in a working/ academic capacity.

DECLARATION
I declare that the information set forth in this application form is, to the best of my knowledge, true
and complete.

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* 8. DECLARATION
I declare that the information set forth in this application form is, to the best of my knowledge, true
and complete.

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