Yes 8. Are you a government sector employee, including in the public health system? Part-time Full-time No 8a. If YES please name the agency 8b. Does your employer support your Yes nomination? No N/A 9 Please list current role and summary of experience. 10. Please provide the 1. Referee Name: Title/Position names and daytime contact Contact Telephone No.: Contact Email: numbers of 2 referees who are willing to support your 2. Referee Name: Title/Position application Contact Telephone No.: Contact Email: 11. Please indicate why you wish to be considered for nomination and your anticipated contribution to Council Registration of Interest Australian Medical Council
8. Are you a government sector employee, including in the public health system? Yes Part-time Full-time No 8a. If YES please name the agency 8b. Does your employer support your nomination? Yes No N/A 9 Please list current role and summary of experience. 10. Please provide the names and daytime contact numbers of 2 referees who are willing to support your application 1. Referee Name: Title/Position Contact Telephone No.: Contact Email: 2. Referee Name: Title/Position Contact Telephone No.: Contact Email: 11. Please indicate why you wish to be considered for nomination and your anticipated contribution to Council Registration of Interest Australian Medical Council