2008 TGA international training calendar activity application form

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Therapeutic Goods Administration

2008 
TGA International Training Calendar 
Activity Application Form

Last updated 25 January 2008

Please note:

The Therapeutic Goods Administration (TGA) is a business unit of the Australian Government Department of Health and Ageing in Canberra, Australia. If you wish to obtain more information about the TGA, you are advised to browse the TGA website: < Ms 00/font> Dr 00/font> Professor 1.2 Surname (please print)   1.3 Given name (please print)   1.4 Full name shown on your passport (please print)     1.5 Position   1.6 Organisation   1.7 Mailing address       1.8 Telephone (including country and area codes)   1.9 Fax (including country and area codes)   1.10 Email address   Section 2. Qualifications and experience 2.1 Please detail your educational background and qualifications     2.2 Are you a member of any professional societies/associations? If so, please provide details.     2.3 List any key areas of your expertise and work experience, especially related to medicines and/or medical devices regulation. Additional personal particulars can be provided (as Attachment A)     3. Training activity and the TGA 3.1 What areas of TGA operations are directly related to achieving your objectives for this training activity? Please list important areas of interest.     3.2 Please provide specific details on how the experience gained during the training activity will improve the regulation of medicines and/or medical devices in your home country.     3.3 Evidence of support from your organisation (including reasons for nominating for the training program, expectations from the activity and anticipated outcome). A letter of support from your organisation will assist your application (as Attachment B).     4. Your organisation 4.1 The function of your organisation. 
Please provide a copy of your organisation chart and other relevant information (as Attachment C)     4.2 Does your organisation have any collaborative activities with the TGA or other institution in Australia? If yes, provide details.    

 

5. English language proficiency (only for countries where English is not the official language) 5.1 Have you undertaken any English examination provided by an independent organisation (eg IELTS, TOEFL, GRE or the Cambridge Examination) in the past two years? If yes, please specify (eg name of the test, results, dates on the certificates). Please include evidence as Attachment D.     5.2 If not, have you ever obtained a qualification (certificates or degrees) from an institution or worked for an extended period in an organisation where English is used as an official language? Please provide details.     6. Training activity you are interested in 6.1 Please indicate the training activity/activities listed in the TGA International Training Calender for 2008, including full subject(s) and date(s).   Activity 1     Activity 2     Activity 3    

 

6.2 Please indicate the training fees for each activity and the total fees if there is more than one activity.   Activity 1 A$           鸥       Activity 2 A$           鸥       Activity 3 A$           鸥      
 
      Total training fees due A$           鸥      
 
 
Applicant signature   Date   7. Others

If you have any special requirement (eg special dietary) during the training activities selected, please provide details in your application form.

Information regarding how to make your payment to the TGA, book a suitable hotel and lodge an Australian visa application will be provided on acceptance of your application to a training activity at the TGA.

8. List of attachments Attachment A: Additional information to that provided in the Application form if appropriate. Attachment B: A letter of support from your organisation. Attachment C: Background information about your organisation and its structure. Attachment D: Copy of any English language certificates obtained in the past two years.

TGA international training calendar activity application form Page of 6

4000(0801)

Address: PO Box 100 Woden ACT 2606  Website: www.tga.gov.au 
Telephone: 02 6232 8444  Facsimile: 02 6232 8605 ABN 40 939 406 804

   download 2008 TGA international training calendar activity application form