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HR86

02/02/2007
Recruitment Human Resources, Building 10a http://info.anu.edu.au/policies/forms/human_resources/ Enquiries: (02) 6125 3346 Facsimile: (02) 6125 5011

Job Application Cover Sheet
- Please send electronic applications to jobs@anu.edu.au http://info.anu.edu.au/hr/Jobs/How_to_Apply/index.asp - Information for applicants can be found at - To insert a carriage return within the multi-line fields press Alt + Enter keys instead of just Enter and this will carry to the next line. Position Applied for and Related Details Reference Number Title of position advertised RSAA3805 Position Number 15195

Fellow at the Research School of Astronomy and Astrophysics AAS Job Register

Where did you see the advertisement? Personal Details Title: Dr.

Family Name Ghosh Given Name/s Tapasi

Mailing Address:

Arecibo Observatory, HC3 Box 53995, Arecibo, PR 00612, USA

Phone:

Day: +1 787 878 2612, ext. 289 Evening: +1 787 879 5754 Mobile:

Postcode: Gender
(optional)

PR 00612 Date of Birth 11/13/59
(optional)

Female

X

Male

Email Address

tghosh@naic.edu

Please answer if applicable I declare that I have accepted a redundancy or early retirement package from the ANU in the preceeding 12 months as follows Separation date Classification Level Relationship with the ANU Have you been, or are you currently, a student or an employee at the ANU? If yes, please provide University Id, if known Diversity Do you identify as an Australian Aboriginal and/or Torres Strait Islander person? Aboriginal only Torres Strait Islander only Yes (please specify X below) No Yes X No Position title Position description

Both Aboriginal and Torres Strait Islander Yes X No

Do you identify as a person from a culturally or linguistically diverse background? If yes, please specify racial/ethnic group: Do you identify as a person with a disability?

Yes

X

No

If yes, do you have any particular requirements to be catered for as part of the interview process? If yes, please specify

Citizenship Country of citizenship (if not Australia) India (with a Permanent Residency in the USA)

If not an Australian/New Zealand citizen, what is your current Visa class? Visa Number Visa Expiry Date After June 2007

If you are selected, when would you be available to take up the appointment?