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Scholarship application
Instructions
• If your application is successful, you will be required to sign a contract with the Commonwealth of Australia and
be bound by the conditions of the Scholarship. A full list of the conditions is contained in the Handbook. Please
note that DFAT reserves the right to change these conditions.
• Submitting this application does not guarantee that you will receive an Australia Awards Scholarship.
Useful websites
• India Economic Strategy: https://dfat.gov.au/geo/india/ies/index.html
• CRICOS: http://cricos.education.gov.au
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Mr Mrs ✔ Ms Miss Dr
Title*
Other (Please specify)
Family name*
Given names*
Place of birth*
Date of birth* / / dd/mm/yyyy
(State/Province)
Country of citizenship*
Note: If you are a citizen of Cook Islands, Niue or Tokelau and are entitled to hold a New Zealand passport, please do
not list New Zealand as your first or second country of Citizenship.
Have you applied or are you intending to apply for permanent residency or
Yes ✔ No
citizenship in Australia or New Zealand?*
Issue date / /
Passport Number
(provide if you have a passport)
Expiry date / /
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2. Contact details*
Current residential address
Please check the contact details you have entered are correct. If you cannot be contacted, your application will not be
processed
* Denotes mandatory field
Address line 1*
Address line 2
Address line 3
State/Province*
Country*
Mailing address
Provide details only if different from your current residential address
Address line 1*
Address line 2
Address line 3
State/Province*
Country*
Mobile no.
Primary email
Fax
Alternate email
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3. Spouse details
If you have dependants (spouse and/or children under 18 years of age only), provide their details even if they will
not accompany you to Australia. A spouse is the person you are married to or de facto partner (including same-sex
partners).
Note: Scholarships do not provide financial support for accompanying dependants. You can get information on your
responsibilities for your dependants, should they live with you in Australia during your Scholarship, from the Department
of Home Affairs website or by contacting the institution where you want to study.
Not applicable
Family name*
Given names*
Note: Provide family name and other names as they appear in your spouse’s birth certificate, passport or other official
identification document*
Country of citizenship*
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A dependent child is your, or your spouse/partner’s child or stepchild who is not married or engaged to be married or in
a de facto relationship and has not turned 18 years of age.
Note: Scholarships do not provide financial support for dependants accompanying you to Australia.
Information on your responsibilities for any children that will live with you in Australia during your Scholarship can be
obtained from the Department of Home Affairs website or by contacting the institution where you want to study.
Provide family name and other names as they appear in your child’s birth certificate, passport or other official
identification document.
Not applicable
Child 1
Family name*
Given names*
Country of citizenship*
Child 2
Family name*
Given names*
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Country of citizenship*
Child 3
Family name*
Given names*
Country of citizenship*
Child 4
Family name*
Given names*
Country of citizenship*
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Given names*
Country of citizenship*
Mr ✔ Mrs Ms Miss Dr
Title*
Other (Please specify)
Family name*
Given names*
Relationship to you*
Email 1
Email 2
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Address line 1*
Address line 2
Address line 3
Town/City*
Country*
1. Scholarship/fellowship title*
Institution Country*
2. Scholarship/fellowship title*
Institution Country*
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7. Scholarship applications
What other scholarships are you going to apply for this year? (500 words)
Note: Applying for more than one scholarship does not make you ineligible to apply for an Australia Awards Scholarship.
Have you previously applied for an Australia Awards Scholarship (or another DFAT-
funded scholarship program such as the program formerly known as AusAID Yes ✔ No
Scholarships) but were unsuccessful?
If ‘Yes’, in which year(s) did you apply and were you interviewed?* (approximately 100 words limit)
8. Proposed study
Applicants will be assessed against academic excellence, leadership potential, and ability to demonstrate how the
Scholarship will contribute to career goals.
DFAT’s website includes a full list of Australian institutions that are eligible to host Australia Awards scholars. You need to
decide which institution you want to attend and choose an appropriate course. To find out about the content of specific
courses, you need to research the individual institution website.
You should choose two preferences. You are encouraged to choose two different institutions rather than two different
courses at the same institution. If your application for your first preference is unsuccessful, DFAT will forward your
application to your second choice of institution. The CRICOS code for your course can be found on the Commonwealth
Register of Institutions and Courses for Overseas Students (CRICOS) website: http://cricos.education.gov.au
Preference 1
CRICOS code*
Type of study
Level of study (e.g.
(e.g. Coursework,
Bachelor, Masters,
Research,
PhD)*
Combination)*
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Field of Study
Preference 2
CRICOS code*
Type of study
(e.g. Coursework, Level of study (e.g.
Research, Masters, PhD)*
Combination)*
Institution’s minimum
English language
Course duration proficiency required
(weeks)* for the course (IELTS,
TOEFL or PTA
Academic)*
Field of Study
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9. Qualifications*
List qualifications (whether complete or not) by level of study, starting with the highest. If you have not completed
your studies please list your anticipated end date. One certified copy of any complete or incomplete official transcripts,
certificates and certified copies of English Language translations must be included with each application form. Any
documents not in English must be translated. Add an extra page if there is insufficient space.
1. Qualification name*
Name of institution*
Country* State/Province*
Language of instruction*
2. Qualification name*
Name of institution*
Country* State/Province*
Language of instruction*
3. Qualification name*
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9. Qualifications* (continued)
Name of institution*
Country* State/Province*
Language of instruction*
4. Qualification name*
Name of institution*
Country* State/Province*
Language of instruction*
If selecting ‘Yes’, please upload a statement from the institution verifying the language of instruction at the ‘Documentary
Evidence’ section.
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Expected
If ‘No’, when do you expect to complete the
/ / test to be
test?*
taken*
Monthly ✔ Daily
How regularly do you use a PC/computer?*
Weekly Occasionally
Spreadsheet software
Word processing software (e.g. Word)? ✔ Yes No ✔ Yes No
(e.g. Excel)?
Operating systems
Database software (e.g. Access)? ✔ Yes No ✔ Yes No
(e.g. Windows 2000)?
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12. Computer training details (List any formal computer courses you have taken.)
Enter any completed formal training courses (highest level first)
Not applicable
Course name* 1
Course name* 2
Position title*
Organisation name*
Organisation address
Do you intend to return to this organisation after completing your Scholarship in Australia?*
Yes No
* Denotes mandatory field
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If ‘No’, what are your plans when you finish your studies? (approximately 80-100 words limit)
1. Previous position
Position title*
Organisation name*
Organisation address
2. Previous position
Position title*
Organisation name*
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1. Why did you choose your proposed course and institution?* (approx. 400 words)
2. How will the proposed study contribute to your career ?* (approx. 400 words)
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4. Please provide:
a) up to three practical examples of how you intend to use the knowledge, skills and connections you will gain from
your Scholarship. Possible tasks can be personal and/or professional; and*
b) a list of any possible constraints you think may prevent you from achieving these tasks.* (approx. 400 words)
5. Please indicate one development theme that is most relevant to your application, even though it may be relevant
to more than one.*
Disability Governance
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7. Are you subject to any criminal or civil proceedings that are currently awaiting legal
action?* Yes ✔ No
* Denotes mandatory field
If `Yes’ please specify. Information provided here will not necessarily disqualify you from being considered for a
Scholarship. Limit your answers to 330- 400 words. Attach a page if not enough room on this form. Please note word
limits. Anything over this limit will not be considered.
Have you ever been convicted of an offence in any country? (including any conviction
Yes ✔ No
which is now removed from official records)*:
DFAT strongly encourages applications from people with disability who are otherwise eligible for a scholarship. Under
the Disability Discrimination Act, Australian education institutions have to provide ‘reasonable adjustments’ to students
with disability to assist access to study. To assess the likely support needs, appropriate assistance, and the capacity of
relevant institutions to provide the assistance, selected scholars with a disability/special need(s) must provide details of
the disability and/or special need(s) when they accept the offer. This information is bound by Australian privacy laws and
will be disclosed only for the purpose of facilitating an accessible barrier-free learning environment.
Modifications to physical or learning environments, including additional educational supports such as sign interpreters
and captioning, may be available depending on the relevant Institution’s capacity. DFAT will advise the Institution of
any special requirements associated with a Scholarship recipient so that the institution can pass these details to their
Disability Liaison Officer prior to the scholar arriving on-campus. Where an institution is not able to provide the assistance
requested, other institutions may be recommended.
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1. Organisation Name*
2. Organisation Name*
3. Organisation Name*
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17. Communication*
Where did you first learn of Australia Awards?* (tick one box)
Other
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Certified copies of academic transcripts. Where they are not in English please provide an English
Yes
translation
Certificates of special achievements or merit which are relevant to the proposed study program
Yes
(if applicable)
Other:
Any documents as specified on Country Profile. Please refer to the Australia Awards – India website
(https://australiaawardsindia.org/) or seek advice from the relevant contact person / office at your Yes
institution.) N/A
*Certified: a statement by an authorised person that the document has been sighted and the copy has been sworn to be
a true copy of the original. An authorised person is either the official records department of the institution that originally
issued the documents, a representative from an Australian overseas diplomatic mission, a Notary Public. For further
details on document certification, please refer to the Scholarships Policy Handbook or the relevant contact person / office
at your institution. .
By submitting this form I authorise DFAT, or its appointed managing contractor, to access and/or obtain information, including copies of
any of my relevant academic records/reports from the education institution(s) that I have attended for the following purposes:
• for use in the selection process for an Australia Awards Scholarship
• to monitor my academic performance at my host institution while studying under an Australia Awards Scholarship
• to brief relevant Australian officials, Ministers and members of Parliament.
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I authorise DFAT to disclose the personal information collected in this form to other Australian Government departments and Australian
education institutions for the purpose of promoting and managing Australia Awards.
Understanding
I understand and confirm that:
• I have read and complied with the Scholarships Policy Handbook and that the contents of my application are true and correct
• DFAT has the right to vary or reverse any decision regarding a Scholarship made on the basis of incorrect or incomplete information
• Decisions of the selection panel are final and confidential and no correspondence about outcomes of the selection process will be
entered into.
Agreement
If successful in gaining an Australia Awards Scholarship, I agree that I will:
• undergo a police or character check before my Australia Awards Scholarship is confirmed
• immediately provide DFAT with details of any incident that may reflect badly on the prestige of Australia Awards
• act in a manner befitting a recipient of Australia Awards
• use the funds for the purposes granted
• acknowledge the assistance given by the Australian Government in any written reports, publications or publicity associated with the
Australia Award Scholarship.
/ /
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Personal Statement
Submit a statement that discusses your career goals, as well as the factors that led you to apply for an
Australia Awards scholarship as a means of furthering your personal and professional goals. Be as specific as
possible in describing how your proposed course of study will enable you to achieve these goals. (500 words)
Name
Date / /
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