Curriculum Vitae

Application for Admission to a Higher Degree by Research

Personal Informtion
Given Name:
Family Name:
Address:

Phone Contact:
Email:

Qualifications
Academic Qualification

University/Institution

Year of
Completion

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Employment History
The following employment details are relevant to my chosen field of study.
Name of Employer

Curtin University is a trademark of Curtin University of

Technology Version date 21/03/16

Years of Service
From
To

Position held and brief description

Security Classification: PUBLIC

CRICOS Provider Code 00301J

Research Experience (must be greater than six months)

The following statement describes my research experience in the area relevant to my chosen
field of study.

Publications (articles published within the last five years excluding career breaks)
Please include only those publications and/or exhibition details that are in the area relevant to
your chosen field of study.
(Include title, authors, journal (volume, page), book, book chapter, and date of publications. For
exhibitions, please indicate the role you played in the development of the exhibition.
Full details of Publications
(Published articles only - provide URL if available and add an additional
page if insufficient space)

Version Date 21-03-16

Date

Peer
Reviewed?
Yes/No

Page: 2

Additional Supporting Information

Please include details of any other supporting information that you consider relevant to your
application e.g. awards, prizes, research grants

Referees
The contact details of two (2) academic referees are provided below.
Referee One
Name:
Position:
Organisation:
Phone Contact:
Email:
Referee Two
Name:
Position:
Organisation:
Phone Contact:
Email:

Version Date 21-03-16

Page: 3