Australian Government
Department of Finance and Deregulation
JOB
APPLICATION
COVERSHEET
Position Applied For:
Job title/classification:
Division/Branch:
Where did you see the ad?
Position No:
Gazette …/…/…
Press …/…/…
Internet
…/…/…
Personal Details:
Title:
Mr
Given
name/s:
Home phone:
Date of birth (optional):
Email (optional):
Postal address:
Mrs
Ms
Miss
Surname:
Work phone:
Male
Dr
Other ……..
Mobile:
Female
Nationality:
Are you an Australian Citizen?
Yes
No
If NO – Please specify nationality:
If NO – state the number of years you have continuously resided in
Australia:
Do you have permanent resident status?
Yes
No
years
If you are a New Zealand citizen you may be a permanent resident. Please refer to www.citizenship.gov.au for more
information.
Have you applied for Australian
citizenship?
Yes
No
If YES, date
applied…./…/…
Current Employment Details:
Department/Agency/Employer:
Job Title/Position Held:
Employee of the APS?
Yes
No
Ongoing
APS Classification:
AGS No:
Do you hold a current security clearance?
Yes
No
Level:
Have you received either a redundancy benefit or severance payment from
an Australian Public Service (APS) agency or a non-APS Commonwealth
employer within the past 12 months?
Non-ongoing
Yes
No
For the definition of “redundancy benefit” and “Commonwealth Employer” please refer to
www.apsc.gov.au/faq/redundancyyear.htm
If yes, please specify the date you accepted the redundancy or severance
payment
Referees:
Name:
Name:
How did you learn about this position?
Newspaper advertisement
Finance’s Internet site
Signature of Applicant:
Postal address for applications:
HR Services Branch
Recruitment and Retention Team
John Gorton Building
King Edward Terrace
PARKES ACT 2600
Phone:
Phone:
Electronic advertisement
Public Service Gazette
Date:
Email address for applications:
jobs@finance.gov.au