Australia Awards Scholarships Application 2017 Intake – Additional information for online
application OASIS
1. Personal details
Details given in this section must match your passport, birth certificate or other official identification documents.
Note: If you have only one name, enter it in both fields. Denotes mandatory field
Attach a recent passport size
photo. 3 x 4 cm.
Title Mr
Mrs Ms
Miss Dr
Other Please specify Family name
Given names Date of birth
ddmmyyyy Gender
Male Female
Place of birth Stateprovince
Country of citizenship
Note: You must be a citizen of one of the eligible participating countries.
2. Contact details
Business address
Provide details only if different from your current business address Address line 1
Address line 2 Address line 3
TownCity Postal code if any
StateProvince Country
Phone
Provide your business one contact number. Work phone no.
Fax no. if any
9
Are you applying for an Australia Awards Scholarships as a public or open applicant?
Denotes mandatory field
Public
If “Public”, please indicate if your application is from: Government department
State-owned enterprise State university
Open
If “Open”, please indicate if your application is from: Private university
Private organisation Private individual
4. Proposed study
DFAT will consider offering you a scholarship only if your course of study will contribute to the development needs of your country. Note that the proposed program of study should be appropriate to your academic
qualification and work experience.
Denotes mandatory field
Requested Level of study
Masters Doctorate PhD
Type of study
Masters coursework program can contain a
research project up to 30 of the Masters. Candidate decide the topic
during course
Coursework Research
Combination
Research background of DoctoratePhD candidates only:
Do you hold a Masters degree with 50 weighting for research?
Yes No
Are you including a letter from your Masters supervisor recommending that you should pursue
Doctorate studies? Recommended
Yes No
Proposed field of study
You are required to:
Identify the Priority Development Area PDA 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.
If necessary, you may nominate another Field of Study in other Please tick other and provide detail.
Denotes mandatory field
Priority Development
Areas PDA Effective economic
institutions and infrastructure
Human development for a productive and healthy
society An inclusive society
through effective governance
Description of PDA
Supporting Indonesia to boost inclusive growth and productive jobs
by improving policy and regulatory settings and incentives for
investment in infrastructure, particularly from the private sector
Improving the productivity and mobility of Indonesia’s labour force
through systemic change to provide better quality health and education
services to local communities. Support for improved law and justice
sector outcomes, local government strengthening, women’s
empowerment and access for people with disabilities to public
services and social assistance.
10
Other, please specify:
Have you obtained information from the Australia Awards Scholarships Information CD, or from the Australia Awards Scholarships website regarding study options in
Australia? Yes
No Please describe the efforts you have undertaken so far to obtain information on your study options in
Australia.
A formal offer of admission will not be required however it is expected serious PhD candidates will have made
preliminary enquiries to possible Australian universities regarding their study.
Have you discussed your proposed course with a member Yes
No
Are there any special subjects or skills that you would like to include in your choice?
Yes No
If Yes please give details. Note that Australia Awards Scholarships does not include the practical training period required for professional registration, e.g. medical internship, legal articles etc. Applicants are expected
to complete such practical training in their own country.
11
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.
Denotes mandatory field
1. Qualification name
Level of study Secondary High School
Vocationaltechnical Undergraduate
Postgraduate S2 or S3
Name of institution StateProvince
Country Language of instruction
Start date GPA
if applicable
Obtained Max End date
Status Complete
Pending results Incomplete
2. Qualification name
Level of study Secondary High School
Vocationaltechnical Undergraduate
Postgraduate S2 or S3
Name of institution StateProvince
Country Language of instruction
Start date GPA
if applicable
Obtained Max End date
Status Complete
Pending results Incomplete
3. Qualification name
Level of study Secondary High School
Vocationaltechnical Undergraduate
Postgraduate S2 or S3
Name of institution StateProvince
Country Language of instruction
Start date GPA
if applicable
Obtained Max End date
Status Complete
Pending results Incomplete
12
Do you identify as having a disability? Under Australian law, disability includes physical, intellectual,
psychiatric, sensory, neurological, learning disabilities, physical disfigurement, and the presence in the body of disease-causing
organisms Yes
No
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, awardees with a
disabilityspecial need must provide details of the disability andor 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. Modifications to physical or learning environments, including additional educational supports such as sign
interpreters and captioning, may be available depending on the relevant Institutions 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.
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?
7. Communication