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|U.S. Department of State | |OMB APPROVAL NO. 1405-0189 |
|APPLICATION FOR EMPLOYMENT AS A | |EXPIRES: 12/31/2012 |
|LOCALLY EMPLOYED STAFF OR FAMILY MEMBER | |ESTIMATED BURDEN: 1 Hour |

(This application is for positions recruited by the U.S. Mission under the
Office of Overseas Employment’s Interagency Local Employment Recruitment Policy)

|POSITION |
|1. Position Title |2. Grade |
| | |
|3. Vacancy Announcement Number (If known) |4. Date Available for Work (mm-dd-yyyy) |
| |07/28/2014 |
|PERSONAL INFORMATION |
|5. Last Name (s) / Surnames | First Name |Middle Name |
|YURT |BUSRA |ECE |
|6. Other Names Used…...

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