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Curriculum Vitae

Application for Admission to a Higher Degree by Research

Personal Information

Given Name:
Family Name:
Address:

Phone Contact:
Email:

Qualifications

Year of
Academic Qualification University/Institution
Completion

Employment History

Provide employment details here. Please also record career breaks. Add an additional page if required.

Years of Service
Name of Employer Position held and brief description
From To

Curtin University is a trademark of Curtin University Security Classification: PUBLIC CRICOS Provider Code 00301J
of Technology Version date 03-06-16
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. Provide relevant professional experience only if applying for a professional
doctorate.

Quality Peer-Reviewed Publications or Non-Traditional Outputs


(items published within the last five years only, 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. You must
provide quality indicators for all outputs as appropriate for your field)

Full details of Publications / Non-Traditional Outputs


(Peer Reviewed Published articles only - provide URL if available and add an additional page if insufficient
space. Include evidence of quality for each output)

Version Date 03-06-16 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 03-06-16 Page: 3

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