Name Of Australian Host Organisation: The University Of Sydney Name Of Counterpart Organisation: The University of health sciences Program Title: Student Exchange program Name and Country Of Nominated Fellow: Laos CURRICULUM VITAE 1. Name , 2. Gender: Male/Female, 3. Date of Birth, 4. Passport No, 5. Nationality, 6. Addresses a. Current Residence Personal Phone: Personal Email: b. Work Address: Work phone: Work Email: 7. Education Qualification ( starting with highest qualification ) a. Qualification and Year Awarde Institution and Country b. Qualification and Year Awarded Institution and Country c. Qualification and Year Awarded Insritution and Country 8. Trainning in the last 4 , 5 year ( starting with most current ) a. Name of training annd Dates Institution and Country b. Name of traning and Dates Institution and Country c. Name of traning Detes Institution and Country 9. Professional / Employment history for the past 10 years ( starting with mos current) a. From date-Present Current Cmployer Current Position Position Description b. From date - date Employer Position Position Description 10. English Language skills ( tick appropriate box ) Competency Basic Intermediate Advanc Reading Witting Speaking 11. Return to work / study plan ( Please use additional pages if required ) a. What learning, skills and knowledge will gain from this Fellowships Program? b. How will I use these new learnings, skills and knowledge in my work when I return? 12. Additional information Will you require additional assiatance or assistive devices to participate in the Exchange program / activities ( e.g. for fellows who are visaally or hearingimpaired, have restrictions on their mobility, may require apersonal assistant or assistance equipment, etc )? 13. Declaration I declare that the above CV details are true. Date Name and Signature
Posted on: Wed, 11 Sep 2013 21:42:23 +0000
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