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Australia Awards-ASEAN Scholarships
Application for 2019 Intake
This application form is for citizens of ASEAN countries that do not have a current Australia Awards Scholarships program (Brunei, Malaysia, Singapore and Thailand).
For citizens of ASEAN countries that do have a current Australia Awards Scholarships program (Cambodia, Indonesia, Laos, Myanmar, Philippines, and Vietnam) follow the same application process as the Australia Awards Scholarships 2019 Intake for your country. Go to Australia Awards Participating Countries for more information.
Please read the instructions below carefully before clicking ‘next’ at the bottom of this screen to commence this online application for Australia Awards-ASEAN Scholarships 2019 Intake:
o Please download preview form from this LINK
o This online form can only be accessed using a PC Dekstop or Laptop or Mac.
o Recommended web browsers are Mozilla Firefox or Chrome or Safari.
o Before completing this form, please read general information notes below carefully.
o If you need help, please email us at [email protected] or text us via WhatsApp at +62 812 8980 4911
o Please refer to the Australia Awards Scholarships Policy Handbook available on the DFAT website.
o You must complete all fields marked with an asterix and all relevant sections.
o This application must be completed in English.
o This form and all essential documents as listed in page 12 of this form must be submited
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before 30 April 2018 at 24:00 Jakarta time (or 17.00 GMT).o Do not send this application to universities or other institutions in Australia.
o Australia Awards-ASEAN Scholarships will be offered only to those whose course of study will contribute to ASEAN’s peace, prosperity and social development. A list of the priorities is available under the “Choosing a Course of Study” section below.
o DFAT’s website and Study in Australia website include a list of Australian Universities that may receive Australia Awards- ASEAN Scholarship recipients. Course of study information is available directly from the Universities’ websites or the Commonwealth Register of Institutions and Courses for Overseas Students (CRICOS) website..
o If you do not receive an invitation to an interview from the Australia Awards office by mid-July/August you should assume that your application has been unsuccessful.
o In cases where information supplied by candidates is found to be inaccurate or incorrect, an award offer may be revoked without notice.
o The closing date is 30 April 2018 at 12.00 PM (24:00) Jakarta time (or 17.00 GMT).
General Information Notes
Australia Awards-ASEAN Scholarships are an important component of Australia’s investment in education. Australia Awards Scholarships provide opportunities to study in Australia at Postgraduate level.
Fifty prestigious Australia Awards ASEAN Scholarships will be offered to citizens of ASEAN countries, to undertake postgraduate (Masters-level) study in Australia.
An initiative of the ASEAN-Australia Special Summit, the Australia Awards-ASEAN Scholarship is a one-off opportunity to study in Australia in fields contributing to ASEAN’s peace, prosperity and social development, namely:
o Political-Security - Contribute to peace and stability in Southeast Asia
o Economic - Contribute to ASEAN’s economic integration and promote inclusive growth
o Socio-Cultural - Contribute to an ASEAN Community that is people-centred and socially responsible
Your career will benefit from new knowledge, leadership skills and links you create in Australia and through our global alumni network.
Social inclusion
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Eligible candidates with a disability or from organisations working with the disabled are encouraged to apply. Women are also encouraged to apply.
Eligibility
In general candidates must:
o not be married or engaged to a person who is eligible to hold Australian or New Zealand citizenship or permanent resident status, at any stage of the application, selection, mobilisation processes or while on-scholarship in Australia;
o satisfy Australian Government requirements for international student entry to Australia (health, character etc);
o not be applying for a visa to live in Australia;
o not be applying for another long-term Australia Award unless they have resided outside Australia for twice the length of the total time that they were in Australia (for example, a previous Australia Awards Scholarship recipient in Australia for four years will not be eligible to apply for another Australia Awards Scholarship until they have resided outside Australia or back in Indonesia for eight years);
o not be current serving military personnel;
o be able to satisfy all requirements of the Department of Immigration and Border Protection (DIBP)
o for a DFAT student visa; and,
o be able to satisfy the admission requirements of the Australian university at which the Scholarship is to be undertaken.
Specifically, candidates must:
o Citizenship of Brunei, Singapore, Malaysia, and Thailand.
o Have an English language proficiency of at least 6.5 in IELTS with no band less than 6.0 (or 575 in paper-based TOEFL or 90 in internet based TOEFL or 61 in PTE Academic). The IELTS, TOEFL or PTE Academic result must be current (obtained in the last 2 years from the application closing date, or a test result obtained between April 30, 2016 until April 30,2018 will be considered current). No other English language test (including TOEFL prediction test) results will be accepted.
o Candidates do not have to provide evidence of a current English language test score if they
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studied in Australia within the last two-years, or completed over five years of study in one of the following English speaking countries: Australia, UK, USA, Canada, New Zealand, South Africa, or the Republic of Ireland.
o Provide contact details of test centre for verification of IELTS/TOEFL test results.
o Already hold an undergraduate degree, if applying for a Masters.
o Answer all relevant questions on the application form.
o Be willing and available to undertake full-time (Monday-Friday 08:00-16:00) Pre-Departure Training in Indonesia prior to studying in Australia, if offered a scholarship.
Choosing a Course of Study
Candidates must apply to study courses which fall within the following priority academic areas as shown in the box below:
Candidates considering study for particular professions should note that Australia Awards-ASEAN Scholarships does not include the practical training period required for professional registration, e.g. medical internships, legal articles etc. Successful recipients are expected to complete such training in their own country.
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Selection Process
Selection will be based on the principles of merit and equity and will be carried out by an independent team to evaluate and rank candidates.
The process will be transparent and the eligibility and selection criteria made are available to interested parties. The final list of recipients is subject to scrutiny and endorsement by DFAT.
Notification of the selection result
All applicants will be advised whether or not they have been selected for an interview. All interviewed applicants will be notified whether or not they have been awarded an Australia Awards-ASEAN Scholarships. The result is final and no correspondence will be entered into. Where appropriate, notification will include details of pre-departure training.
Pre-departure training
ASEAN Scholarship awardees will be given the opportunity to undergo 6 weeks Pre-departure Training. The ASEAN awardees should already qualify in English proficiency. Pre-departure training (PDT) will be delivered in Jakarta by the Indonesia-Australia Language Foundation (IALF). Awardees will be provided with a Contribution to Living Expenses (CLE) during their PDT training period. Accommodation will also be provided at cost at a four-star hotel located within walking distance of the IALF facility
PDT training is compulsory and full-time for all Australia Awards-ASEAN Scholarships recipients.
Requirements for Scholarship Recipients
Prior to travelling to Australia, scholarship recipients must:
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o meet the minimum English language requirement of their chosen Australian university (usually IELTS of 6.5 with no band less than 6.0);
o receive a letter of acceptance from an Australian university;
o meet Australian immigration requirements for a student visa;
o be medically fit to commence studies in Australia.
In Australia, scholarship recipients must:
o abide by the conditions of the scholarship and the rules of Australian tertiary institutions;
o abide by the rules and regulations governing a student visa; and,
o act in a way that will not bring disrepute to DFAT, or to any Australian university.
In addition, scholarship recipients must:
o gain support from DFAT if seeking to return to Australia within the two-year exclusion period for anything other than a short term visa for up to three months. Visa applications for short-term visits do not require DFAT’s approval;
o return to origin Country for a period equivalent of twice the length of the study period in Australia, before re-entering Australia on another Government of Australia funded scholarship; and,
o if during the two years exclusion period the scholarship recipients return to Australia, a debt to the Commonwealth may be activated OR any time spent in Australia may be added to the two-year exclusion period.
What do Australia Awards-ASEAN Scholarships cover?
o Pre-Departure Training – training prior to commencement of studies in Australia. This will include Contribution to Living Expenses (CLE) and Accommodation close to PDT location.
o Domestic and International Return Airfare from the airport closest to the recipient’s home location to the airport closest to Pre-departure Training centre in Indonesia;
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o Medical examination and x-ray costs in order to comply with Student Visa requirements;
o DFAT Student Visa and Student Dependent Visa;
o Outward Airfare (economy- one way) from the airport closest to the recipient’s home location to the international airport closest to the Australian university selected for study by the recipient;
o Overseas Student Health Cover (OSHC) - recipient only (recipients are required to maintain
o OSHC for any accompanying family in order to satisfy visa requirements);
o Establishment Allowance payable into the recipient’s bank account after arrival in Australia;
o Contribution to Living Expenses (in Australia Stipend) - payment of a fortnightly contribution to living expenses (CLE);
o Tuition Fees – including all compulsory fees for the course in which the recipient is accepted into;
o Supplementary Academic Support - provided where it is deemed essential to assist recipients to pass course subjects;
o Fieldwork - holders of a scholarship where research comprises at least 50 percent of the program may receive a return economy class airfare to Indonesia to undertake essential fieldwork;
o Reunion Airfare - is available to a ‘single’ recipient after the successful completion of the first year of study; subsequent reunion airfare entitlements will be available on an annual basis for the duration of the Australia Awards Scholarships, except for the final year of the Australia Awards Scholarships; and,
o Homeward Airfare (economy- one way) from the international airport closest to the Australian university selected for study by the recipient to the airport closest to the recipient’s home location.
Family Entry
Recipients can bring their immediate families to Australia at their own cost, if their families meet DFAT and immigration requirements. Families are normally permitted to join eight (8) weeks after the recipient's arrival.
Useful websites
o Australia Awards: http://australiaawards.gov.au/
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o DFAT: http://dfat.gov.au/pages/default.aspx
o Visas – Department of Immigration and Border Protection: http://www.border.gov.au
o Studying in Australia: http://www.studyinaustralia.gov.au
o CRICOS: http://cricos.education.gov.au
o IELTS: http://www.ielts.org
o TOEFL: http://www.ets.org/toefl
o PEARSON: http://www.pearsonpte.com
Personal details
Title
Family Name
Given Name
Date of birth
Place of birth
Gender
Citizenship
National Identity Number
Have you applied, or are you intending to apply, for permanent residency or citizenship in Australia or New Zealand? YES NO
Passport no.
Issue date
Expired date
Contact details Email
Alternate Email
Mobile Phone Alternate Mobile Phone
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Work Phone
Residential AddresAddress line
Town/City
Province/State
Postal code (if any)
Country
Mailing address
(Provide details only if this is different to your current residential address.)
Current address and Mailing address different YES NO
mailing addressAddress line
Town/District
Province
Country
Postal code (if any)
Emergency contact detailsRelationship to you
Name
Title
First
Last
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Gender
Home phone
Mobile Phone
Work phone
Fax (if any)
Email 1
Email 2
Address line
Town/District
Province/State
Country
Current Work address
(Please provide your current work address where you can also be contacted
Address line
Town/District
Province/State
Country
Postal code (if any)
Spouse and Dependent Detail
Relationship Status
Do You Have Dependent
Dependents Detail
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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.
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 Immigration and Border Protection (DIBP) or by contacting the institution where you want to study.
* Denotes mandatory field
Spouse Detail
Date Marriage
Name
First
Last
Provide family name and other names as they appear in your spouse’s birth certificate, passport or other official identification document
Date of birth
Place of birth
Gender
Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Children Details
Child 1Name
First
Last
Date of birth Place of birth
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Gender
Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Child 2Name
First
Last
Date of birth
Place of birth
Gender
Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Child 3Name
First
Last
Date of birth
Place of birth
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Gender
Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Child 4Name
First
Last
Date of birth
Place of birth
Gender
Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Child 5Name
First
Last
Date of birth
Place of Birth
Gender
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Passport no.
Provide if spouse has a passport*
Issue date
Expired date
Country of citizenship
Previous scholarships Only include details of post-secondary school scholarships or fellowships.
Have you previously been awarded a scholarship or a fellowship? YES NO
Scholarship 1Scholarship/fellowship title
Start date
End date
Country
Qualification (if applicable)
University
Scholarship 2Scholarship/fellowship title
Start date
End date
Country
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Qualification (if applicable)
University
Scholarship 3Scholarship/fellowship title
Start date
End date
Country
Qualification (if applicable)
University
Scholarship applications What other scholarshipss are you currently applying for
Have you previously applied for a DFAT scholarship but were unsuccessful
If ‘Yes’, in which years?
Proposed Study ProgramDFAT’s website includes a full list of Australian institutions that are eligible to host Awardees. You need to decide which institution you want to attend and choose an appropriate course. To find out about the
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content of specific courses, you 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 1Course Name
e.g Doctor of Business Administration
Institution
CRICOS Code
Type of Study
Level of Study Master Degree
Duration in weeks
Field of Study
e.g. 080301 - Business Management
Minimum English language profiency required for the course (IELTS,TOEFL or PTE Academic)
Type IELTS Score Only. e.g 7.5
Preference 2Course Name
e.g Doctor of Business Administration
Institution
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CRICOS Code
Type of Study
Level of Study Master Degree
Duration in weeks
Field of Study
e.g. 080301 - Business Management
Minimum English language profiency required for the course (IELTS,TOEFL or PTE Academic)
Type IELTS Score Only. e.g 7.5
Research DetailsResearch Title
Objective
Significance and possisible application of the applicant's proposed research to their country's development
Research Methodology
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Fieldwork
ASEAN Priority Fields of StudyYou Are Required To:
Identify The ASEAN Pilar For Your Proposed Studies. (Please Tick One Box Only).
Identify The Priority Field Of Study (PFS) From The List Of Preferred PFS Provided (Please Tick One Box Only).
ASEAN Pillar
.Political-Security Priority Fields of Study
Others Political-Security Priority Fields of Study
Economic Priority Fields of Study
,Socio-Cultural Priority Fields of Study
Others Socio-Cultural Priority Fields of Study
List qualifications (whether complete or not) by level of study, starting with the highest. If you have not completed your study please list your anticipated end date. Applicants are required to fill out the total GPA obtained and the maximum GPA possible for each qualification noted below.
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Qualifications 1Qualification name
i.e. Bachelor of Economic
Level of study Undergraduate (S1) Postgraduate (S2)
Name of university
Province/State
Country
Language Instruction English
Obtained
Max
Study Start date
Study End date
Study Status Complete Pending results Incomplete
Qualifications 2Qualification name
i.e. Bachelor of Economic
Level of study Undergraduate (S1) Postgraduate (S2)
Name of university
Province/State
Country
Language Instruction English
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Obtained GPA
Max GPA
Study Start date
Study Status Complete Pending results Incomplete
Qualifications 3Qualification name
i.e. Bachelor of Economic
Level of study Undergraduate (S1) Postgraduate (S2)
Name of university
Province/State
Country
Language Instruction English
Obtained GPA
Max GPA
Study Start date
Study Status Complete Pending results Incomplete
English Language ProficiencyIt is recommended the participant have an English language proficiency of at least 6.5 in IELTS with no band less than 6.0 (or 575 in paper-based TOEFL or 90 in internet based TOEFL or 61 in PTE Academic). The IELTS, TOEFL or PTE Academic result must be current (obtained in the last 2 years from the application closing date, or a test result obtained between April 30, 2016 until April 30,2018 will be considered current). No other English language test (including TOEFL prediction test) results will be accepted
Scholarship applications close on 30 April 2018 and you may continue to submit IELTS results at the latest
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a week after closing date (10 May). No late submissions will be accepted.You can send your IELTS results by email to [email protected]
You do not have to provide evidence of a current English language test score if you studied in Australia within the last two-years, or completed over five years of study in one of the following English speaking countries: Australia, UK, USA, Canada, New Zealand, South Africa, or the Republic of Ireland.
Is English your first language?
Was English the language of your highest level of study?
What kind Test have you taken
Date test taken
Test Centre/location
Overall score
Reading Score
Writing Score
Listening Score
Speaking Score
Computer literacyAre you computer literate
How regularly do you use a PC/computer
Do you have experience with the following software
Word processing software (e.g. Word)
Spreadsheet software (e.g. Excel)
Database software (e.g. Access)
Operating systems (e.g. Windows X, Mac OS)?
Presentation software (e.g. PowerPoint)
Email software (e.g. Outlook)
Internet browsers (e.g. Internet Explorer) Statistical packages (e.g. SPSS or Minilab)
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Computer training details
Applicable
List of Computer TrainingComputer Training 1Course name
Start Date
End Date
Computer Training 2Course name
Start Date
End Date
Computer Training 3Course name
Start Date
End Date
Employment Are You Currently Employed
Current employment may include work experience and voluntary work
Current employment Position title
e.g Director
Date commenced
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Organisation
e.g Australia Awards in Indonesia
Organisation Address
Briefly describe your current duties and responsibilities
Do you intend to return to this organisation after your scholarship in Australia
how will this scholarship contribute to the organisation’s human resource development needs
Previous relevant employment Only provide previous employment that is relevant to your application. Employment history should also include work experience, community work and voluntary work.
Position title
e.g Director
Organisation
e.g Australia Awards in Indonesia
Organisation Address
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Start Date
End Date
Duties/responsibilities
Previous relevant employment 2Only provide previous employment that is relevant to your application. Employment history should also include work experience, community work and voluntary work.
Position title
e.g Director
Organisation
e.g Australia Awards in Indonesia
Organisation Address
Start Date
End Date
Duties/responsibilities
Previous relevant employment 3Only provide previous employment that is relevant to your application. Employment history should also include work experience, community work and voluntary work.
Position title
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e.g Director
Organisation
e.g Australia Awards in Indonesia
Organisation Address
Start Date
End Date
Duties/responsibilities
Supporting statementLimit your answers to approximately 400 words per question. Attach a page if not enough room on this form. Please note word limits. Anything over this limit will not be considered.
How did you choose your proposed course and institution
How will the proposed study contribute to your career
How have you contributed to solving a challenge and to implementing change or reform
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(Be specific and include: what aspect/s of your leadership knowledge, skills and practice you consider to be well established and effective; which people or organisations you worked with to solve the problem; and what creative methods were used.)
Please
1. give up to three practical and realistic 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*
2. list any possible constraints you think may prevent you from achieving these tasks.*
Your Answer Below
Please indicate the development theme that is most relevant to your application, even though it may be relevant to more than one. Disability Governance Disaster risk reduction
Health, HIV/AIDS, pandemics Economic growth Agriculture and fisheries
Education Infrastructure Environment
Regional stability Food security Rural development
Gender equality Water & sanitation
Do you currently have any connection or relationship to any staff employed at DFAT Posts or with DFAT’s managing contractors
If `Yes’ please specify
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Information provided here will not necessarily disqualify you from being considered for a scholarship.
Are you subject to any criminal or civil proceedings that are currently awaiting legal action
If `Yes’ please specify
Information provided here will not necessarily disqualify you from being considered for a scholarship.
Have you even been convicted of an offence in any country (including any conviction which is now removed from official records)
If `Yes’ please specify
If `Yes’ please provide detail of the incident. Information provided here will not necessarily disqualify you from being considered for a scholarship.
DisabilityDFAT 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, awardees with a disability/special need must provide details of the disability and/or special need when they accept their 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.
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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 an Awardee so that the Institution can pass these details to the Institution’s Disability Liaison Officer prior to the Awardee arriving on-campus. Where an Institution is not able to provide the assistance requested, other Institutions may be recommended.
Do you identify as having a disability or do you work in a disability-focused organisation
Under Australian law, disability includes physical, intellectual, psychiatric, sensory, neurological, learning disabilities, physical disfigurement, and the presence in the body of disease-causing organisms
If yes, please provide details if you require special assistance or equipment to participate in the Scholarship selection processes or to live and undertake studies in Australia?
Professional memberships
The associations and organisations of special interest may include community, cultural, political, scientific, professional and/or educational
Do you have profesional membership experince
Organisation 1Organisation Name
Highest position held (if any)
Start date
End date
Organisation 2Organisation Name
Highest position held (if any)
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Start date
End date
CommunicationWhere did you first learn of the Australia Awards DFAT Scholarship recipient Friend, relative or colleague Alumni Association
Australia Awards website Australia Awards Promotional Event
Home institution or university
Workplace or nominating authority
Australian institution or university
Publication, radio, TV
Social Media
Checklist of documentary evidencePlease note:
You are responsible for providing all supporting documents. If you do not provide all required documents your application will be rejected
Only File on "PDF", or Image "JPG,JPEG,PNG,BMP" accepted by system
Maximum size each file is 2 MB
Use Filename Format as "YOUR NAME_Name of Documents". example below
o Bon Jovi_BIRTH CERTIFICATE
o Bon Jovi_PROOF CITIZENSHIP
o Bon Jovi_CV
o Bon Jovi_TRANSCRIPTS
o Bon Jovi_ACADEMIC CERTIFICATE
File or Documents without "YOUR NAME" in the filename, will succes upload but COULD NOT read and store at our system
Scholarship applications close on 30 April 2018 and you may continue to submit IELTS results at the latest a week after closing date (10 May). No late submissions will be accepted.
You can send your IELTS results by email to [email protected]
You do not have to provide evidence of a current English language test score if you studied in Australia within the last two-years, or completed over five years of study in one of the following English speaking countries: Australia, UK, USA, Canada, New Zealand, South Africa, or the Republic of Ireland.
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Birth CertificateUse Filename Format as "YOUR NAME_Name of Documents"
Proof citizenship Use Filename Format as "YOUR NAME_Name of Documents"
Curriculum VitaeUse Filename Format as "YOUR NAME_Name of Documents"
Official (Certified* ) Post-Secondary And Tertiary Certificates/Degrees.Use Filename Format as "YOUR NAME_Name of Documents"
Official (Certified* ) English Translations Of Post-Secondary And Tertiary Certificates/Degrees. If Original certificate is not in English.Use Filename Format as "YOUR NAME_Name of Documents"
Official (Certified* ) Post-Secondary And Tertiary Transcripts Of Results.Use Filename Format as "YOUR NAME_Name of Documents"
Official (Certified* ) English Translations Of Post-Secondary And Tertiary Transcripts Of Results. If Original transcript is not in English.Use Filename Format as "YOUR NAME_Name of Documents"
Current (Original) Ielts Or Toefl Or Pte English Language Test Results. The IELTS, TOEFL or PTE Academic result must be current (obtained in the last 2 years from the application closing date, or a test result obtained between April 30, 2016 until April 30,2018 will be considered current) Scholarship applications close on 30 April 2018 and you may continue to submit IELTS results at the latest a week after closing date (10 May). No late submissions will be accepted. You can send your IELTS results by email to [email protected] You do not have to provide evidence of a current English language test score if you studied in Australia within the last two-years, or completed over five years of study in one of the following English speaking countries: Australia, UK, USA, Canada, New Zealand, South Africa, or the Republic of Ireland.
ADDITIONAL DOCUMENTS: (OPTIONAL)List Of Relevant Publications, Unpublished Theses (For Research Applicants)Use Filename Format as "YOUR NAME_Name of Documents"
Statement From University That English Is A Language Of Instruction (If Applicable)Use Filename Format as "YOUR NAME_Name of Documents"
Relevant Correspondence With An Australian University (If Available).Use Filename Format as "YOUR NAME_Name of Documents"
Official (Certified*) English Translations Of Birth CertificateUse Filename Format as "YOUR NAME_Name of Documents"
Others DocumentsUse Filename Format as "YOUR NAME_Name of Documents"
Applicant’s authorisation, agreement, declaration
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Authorisation
DFAT Must Comply With The Privacy Act 1988 In Relation To The Personal Information You Have Provided In This Form.
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 Award
To Monitor My Academic Performance At My Host Institution While Studying Under An Australia Award
To Brief Relevant Australian Officials, Ministers And Members Of Parliament.
I Consent For DFAT, Or Its Appointed Managing Contractor, To Share This Application Form And Supporting Documents With The Government Of My Country Of Citizenship, If The Government Is Involved In The Australia Awards Scholarship Selection Process.
Should I Receive An Australia Award I Consent:
1. To The Australian Government Using And Disclosing Extracts Of My Application (Relating To My Academic Background And Achievements, Leadership Skills And My Proposed Study Program In Australia) In Promotional Material In Hardcopy And On The Internet. I Note That Promotional Material May Include, But Is Not Limited To, Media Releases And Information Circulated To DFAT’s Offshore Posts And Australian Education Institutions, Concerning The Australia Awards.
2. To My Personal Information And That Of My Family Members And Dependants, Including Sensitive
Information As Defined In The Privacy Act 1988, Being Collected, Handled, Used And Disclosed By And Exchanged Between DFAT, Other Government Agencies Including Australian Immigration Authorities, Australian Education Institutions, Partner Organisations (Including Managing Contractors And Sub-Contractors), Medical Insurers, Medical Practitioners, Case Managers, The Home Government (Where Applicable) And Other Parties, In The Circumstances Outlined, And For The Purposes Indicated, In The Australia Awards Scholarships Policy Handbook As Updated From Time To Time.
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 The Australia Awards.
Understanding
I Understand And Confirm That:
1. I Have Read And Complied With The Scholarships Policy Handbook And That The Contents Of My Application Are True And Correct
2. DFAT Has The Right To Vary Or Reverse Any Decision Regarding A Scholarship Made On The Basis Of Incorrect Or Incomplete Information
3. Decisions Of The Selection Panel Are Final And Confidential And No Correspondence About
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Outcomes Of The Selection Process Will Be Entered Into.
Agreement
If Successful In Gaining An Australia Award, I Agree That I Will:
1. Undergo A Police Or Character Check Before My Australia Award Is Confirmed
2. Immediately Provide DFAT With Details Of Any Incident That May Reflect Badly On The Prestige Of An Australia Award
3. Act In A Manner Befitting A Recipient Of An Australia Award
4. Use The Funds For The Purposes Granted
5. Acknowledge The Assistance Given By The Australian Government In Any Written Reports, Publications Or Publicity Associated With The Award.
Declaration I am Declare, in submitting this application form, that the information contained in it and provided in connection with it is true and correct
Acknowledge I acknowledge tht giving false or misleading information is a serious offence uder the Criminal Code Act 1995 of the Commonwealth of Australia
Full Name
Date
