Beruflich Dokumente
Kultur Dokumente
APPLICATION FORM
THIS APPLICATION FORM IS FOR INTERNATIONAL STUDENTS ONLY
Agent/Representatives Stamp
and Address
This application will not be processed unless all information has been provided.
PLEASE PRINT CLEARLY.
CLOSING DATE FOR SCHOLARSHIP APPLICATIONS: 31 AUGUST
APPLICATIONS FOR Candidature MAY BE SUBMITTED AT ANY TIME.
(Except for PhD Clinical Psychology and PhD Health Psychology Applications.
1 October for admission only)
D D M M Y
Y Y Y
Female
Male
Suburb/Town/City State
Country Postal/Zip
Phone
Country code
Area code
Phone
Country code
Area code
Mobile/Cell/Handphone Number
Home Number
Email Address
3. Previous student
Have you previously been a University of Newcastle student or applicant?
Yes
No
Student ID Number
4. Country of birth
Please Specify
5. Country of citizenship *NB Evidence of citizenship MUST be provided.
Please Specify
6. Disabilities
The information provided below will assist the University in monitoring and improving services to assist students with special needs.
Do you have a disability or long-term medical condition which may affect your studies?
If Yes, please indicate the type of disability that applies:
Do you require Support Services?
Yes
Hearing
Vision
Yes
Learning
No
Medical
Mobility
Other
No
www.newcastle.edu.au | 83
Degree Name
Program code
Campus
Start Date:
Callaghan Ourimbah
D D M M Y
Y Y Y
Research candidates may commence their candidature on almost any weekday during the year and are asked to nominate their intended start date. Candidates who commence their study
between January and June are enrolled for Semester 1; candidates who commence between July and December are enrolled for Semester 2. Fees are charged on a pro-rata basis, from the
commencement date, for the first semester. For subsequent semesters the full semester fees apply.
8. Research Topic
9. Research Proposal (Description of proposed research at this University. Please attach a typed statement)
Who have you discussed your proposed research project with at the University of Newcastle?
Name
Name
A statement indicating the nature of research you wish to undertake MUST be provided. A Research Proposal template is available
for your use on page 65 of this prospectus and at www.newcastle.edu.au/students/research-higher-degree/future-students/forms
Qualification
(B.Sc, M.A. etc.)
Institute
(eg Nanjing University)
Country
(eg China)
Study
Commenced
(eg Mar 2008)
Completion date/
Expected date
of Completion
(eg Dec 2012)
Undergraduate
Graduate
Master (Coursework)
Master (Coursework with
research component)
Master
(Research Higher Degree)
PhD/Doctorate
(Research Higher Degree)
No
Have you completed any of the following Language Tests in the last two years?
IELTS
Date of Test D D M M Y
Y Y Y
TRF#
iTOEF
Date of Test D D M M Y
Y Y Y
REGIST#
Other
Date of Test
D D M M Y
Y Y Y
If you do not meet the English proficiency requirement, you may be required to undertake ELICOS at the University of Newcastle.
Evidence of English proficiency must be provided by 31 August each year to be eligible for consideration for scholarship.
The English proficiency policy can be found at www.newcastle.edu.au/policy/000104
84 | RHD PROSPECTUS
Yes
No
Yes
No
Duration
Yes
No
End Date
D D M M Y
Y Y Y
12. Referees
Please list 2 referees (name, title, institution, email address and telephone number)
Name
Name
Institution
Institution
Phone
Phone
www.newcastle.edu.au | 85
Ensure you attach certified copies of all previous qualifications including award certificates (if applicable), and academic transcripts
with grading systems descriptions. Qualifications and transcripts must be certified by a University of Newcastle representative or
agent, a Notary Public, Commissioner for Declarations, Justice of the Peace or Academic Registrar of the institute which issued the
transcript. Where qualifications have been obtained under a different name, evidence of change of name must be provided
(ie Marriage Certificate).
Note copies can be faxed or emailed in the first instance with certified copies required prior to being issued a CoE.
If you are an overseas registered nurse, attach a certified true copy in English of your licence.
Enclose certified copies of your English language qualification or details of English proficiency.
Enclose a certified photocopy of the personal details page of your passport and visa if applicable.
If your academic transcripts are in a language other than English, enclose certified English translations.
13. Declaration
I hereby apply for enrolment in accordance with the Act, By-law,
and Rules of The University of Newcastle and declare that:
I understand that I must enrol in courses that comply with
the requirements of the degree program to which I have
been admitted
I authorise the University to release information regarding
my enrolment to Government agencies in accordance with
legal requirements
I understand that failure to pay fees and charges owed to
the University or its partner organisation by the due date may
result in my access to University services being restricted,
the cancellation of my enrolment and/or action to recover
any remaining debt
I certify that all information and documentation supplied by
me to the University is true, accurate and complete
I consent to the collection, storage, and disclosure by the
University, Universities Australia (UA) or any UA member
institution of a record of any such information or any other
irregular activity that may be considered to be untrue or
misleading in any respect
I agree to comply with the rules, policies and by-laws of the
University of Newcastle
I acknowledge and accept that the Code of Practice for
Research Higher Degree Candidature describes the
respective rights and responsibilities of both parties and
forms the basis of understanding and commitment between
the two parties
I agree to abide by the Code of Practice for Research Higher
Degree Candidature
Signature Date
Once you have completed the above, email, fax or send your completed application form to:
International Admissions
The University of Newcastle
Callaghan NSW 2308 Australia
86 | RHD PROSPECTUS
$26,840
039981C
11644
$19,960
045911M
11617
$19,960
032758M
11601
$26,840
039982B
11641
$26,840
039983A
11629
$24,160
006950E
11618
$26,840
039984M
11643
$26,840
032825E
11661
$24,160
012981C
11619
$26,840
032791K
11626
$26,840
032826D
11662
$26,840
032792J
11624
$19,960
032734G
11607
$26,840
039940A
11645
$24,160
032735G
11657
$21,480
032398G
11647
$26,840
045922G
11621
$24,160
000896K
11620
$19,960
056983D
11678
$24,160
032731M
11658
$19,960
032736F
11603
$19,960
015708G
11598
$19,960
000909K
11606
$26,840
032793G
11622
$19,960
032737E
11608
$21,480
039985K
11637
$26,840
045925E
11625
$26,840
045910A
11663
$26,840
070421K
11720
$26,840
057004C
11630
$19,960
023083B
11605
$26,840
032853A
11664
$19,960
037761J
11209
$26,840
039986J
11646
$26,840
032829A
11665
$19,960
033236G
11609
$26,000
045913J
11666
$26,840
039987G
11631
$26,840
039988G
11632
$24,160
045032J
11659
70 | RHD PROSPECTUS
$26,840
053410K
11660
$19,960
039944G
11600
$19,960
032739C
11599
$19,960
032740K
11611
$19,960
032759K
11602
$26,840
039719F
11667
$21,480
000892C
11671
$26,840
032794G
11627
$26,840
039991A
11633
$26,840
039993K
11634
$26,840
032823G
11670
$21,480
039998E
11638
$26,840
039999D
11648
$19,960
032741J
11612
$24,160
027418G
11604
$24,160
075308D
11734
$24,160
045882M
11653
$24,160
040000B
11639
$24,160
039942K
11640
$26,840
056984C
11635
$26,840
040001A
11649
$26,840
057003D
11642
$19,960
032743G
11613
$26,840
032827C
11668
$26,840
032830G
11672
$24,200
045921J
11636
$26,000
074729B
11732
$19,960
045926D
11597
$26,840
040002M
11650
$26,840
032831G
11656
$19,960
064802C
11694
$26,840
040003K
11651
$19,960
073057A
11726
$21,480
011015B
11616
$19,960
032744F
11614
$26,840
045920K
11623
$24,160
045927C
11615
$21,480
032760F
11673
$26,840
040004J
11652
$26,840
013963G
11628
www.newcastle.edu.au | 71
$26,000
039720B
11669
$19,960
071231G
11723
$26,840
039721A
11125
$19,960
045938M
11159
$19,960
032761E
11032
$26,840
039722M
11126
$26,840
039723K
11132
$24,160
006951D
10184
$26,840
039724J
11134
$26,840
000851A
10061
$24,160
012982B
10853
$26,840
000822F
10380
$26,840
000847G
10095
$26,840
002444M
11028
$19,960
000880G
10450
$26,840
039726G
11139
$26,840
053412G
11539
$24,160
027438C
10729
$21,480
032397J
11135
$26,840
045946M
11459
$24,160
012986J
11029
$19,960
056223M
11677
$24,160
039943J
10728
$19,960
000868C
10050
$19,960
000865F
10494
$19,960
000869B
10367
$26,840
000821G
10332
$26,840
069584A
11719
$19,960
000879M
10426
$21,480
039727F
11144
$26,840
045937A
11468
$26,840
045948J
10319
$26,840
070422J
11721
$26,840
057006A
11590
$19,960
016817E
10727
$26,840
023093M
10955
$19,960
037762G
11214
$26,840
039728E
11136
$26,840
000830F
10439
$26,840
053413G
11540
$19,960
000878A
10041
$26,000
045947K
11030
$26,840
039729D
11140
$26,840
039731K
11128
72 | RHD PROSPECTUS
$24,160
045949G
11185
$26,840
053411J
11542
$19,960
000856G
10147
$19,960
027435F
10852
$19,960
000866E
10114
$19,960
002429K
10389
$26,840
039732J
11478
$21,480
002476C
10033
$26,840
000817C
10209
$26,840
039733G
11133
$26,840
039734G
11129
$21,480
039735F
11130
$26,840
000774J
11137
$24,160
056225J
11593
$19,960
027434G
10333
$24,160
023091B
10938
$24,160
075307E
11753
$24,160
027433G
10939
$24,160
032819C
11131
$24,160
031198B
11127
$26,840
056224K
11591
$26,840
039736E
11138
$26,840
057005B
11592
$19,960
000877B
10191
$26,840
000855G
11031
$26,840
000829K
10299
$24,200
045953A
11463
$26,000
074728C
11733
$19,960
045950D
11482
$26,840
039737D
11141
$26,840
000828M
10216
$19,960
064801D
11693
$26,840
039738C
11142
$19,960
073058M
11727
$21,480
013441A
10738
$19,960
000867D
11151
$26,840
045944B
11474
$24,160
045951C
11472
$21,480
000854J
10284
$26,840
039739B
11143
$26,840
045935C
11462
$26,000
039740J
11480
$19,960
071230J
11724
www.newcastle.edu.au | 73