Australia Awards Scholarships

Application (Sample)
Instructions
All applications must be lodged online, this application form is a sample only

Before completing the application form, you must read the Australia Awards Scholarships 2022 Brochure and Australia
Awards Scholarships Policy Handbook 2021 available on www.australiaawardslaos.org (please note that AAS Laos
Intake 2022 Information will be available in late January 2021)

Application dates

For study commencing in Australia in 2022:

Opening date: 1 February 2021

Closing date: 30 April 2021 (11.59pm Canberra Time or 8:59pm Lao Time)

The application process

For information on how to apply online and the supporting documents required, go to: www.australiaawardslaos.org (please
note that AAS Laos Intake 2022 Information will be available in late January 2021)

Online applications

All applications must be lodged online through https://oasis.dfat.gov.au

When applying online, all supporting documents must be uploaded to meet the specific eligibility requirements for
Laos.

We strongly advise applicants to apply online well before the closing date. The online application facility (OASIS)
experiences peak usage in the days leading up to the closing date, and applicants may experience delays.

For those who have no access to the internet and/or people living with a disability who need help to apply, kindly
contact our Scholarships Team at LAI (see contact details on page 2).

> You must complete all fields marked with an *.

> This application must be completed in English.

> For “Yes” or “No” questions, indicate your response with an “X” in the appropriate box.

> DO NOT send this application to universities or other institutions in Australia.

> Australia Awards Laos brochure includes a list of Australian tertiary education
institutions that may host awardees. Course of study information is available directly from the institutions’
 websites or the Commonwealth Register of Institutions and Courses for Overseas Students (CRICOS)
website (see below). You must research course specific requirements on the institution’s website.

> You may provide two preferences for courses of study. You should consider two
institutions rather than two courses at the same institution, just in case you do not meet the admissibility
requirements of the first institution. However, your application will be assessed against your first preference.

> 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 Australia Awards Scholarships Policy Handbook. Please note that DFAT reserves the right
to change these conditions at any time.

> Submitting an application does not guarantee that you will receive a scholarship.

Useful websites
Australia Awards Laos: www.australiaawardslaos.org
Australia Awards: www.australiaawards.gov.au
DFAT: http://dfat.gov.au/pages/default.aspx
Visas – Department of Immigration and Border Protection: http://www.border.gov.au
Studying in Australia: http://www.studyinaustralia.gov.au
CRICOS: http://cricos.education.gov.au
IELTS: http://www.ielts.org

Contact details
Australia Awards — Laos
Address: Laos Australia Institute
Foreign Languages Resource Centre Building,
Corner of Rue Setthathirath and Mahosot Road,
Vientiane Capital, Lao PDR
Phone: (856) 21 265 721, (856) 21 265 722
Email: [email protected]

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Australia Awards Scholarships Application (Sample)
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

Mr Mrs Ms Miss Dr
Title*
Other (Please specify)      
Family name*      
Given names*      
Place of birth*
Date of birth*   /  /     dd/mm/yyyy     
(State/province)
Male Female
Ethnic group
Gender* Other (Indeterminate/ Intersex/     
(optional)
Unspecified)

Country of
    
citizenship*

Note: You must be a citizen of one of the eligible participating countries.

Do you have dual citizenship?* Yes No

2nd country of citizenship (if applicable)      

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.

Which country are you living in now?*      

Have you applied, or are you intending to apply, for

permanent residency or citizenship in Australia or Yes No
New Zealand?*
National Identity Number      

Note: Provide if applicable to your country.*

Passport no. Issue date   /   /     

     
(provide if you have a passport).* Expiry date   /   /     

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2. Contact details*
Residential address
Please check that your contact details are correct. If you cannot be contacted, your application will not
proceed.
* Denotes mandatory field

Address line 1      

Address line 2      
Address line 3      

Town/City       Postal code (if any)      

State/Province      
Country      
Mailing address
Provide details only if different from your current residential address
Address line 1      
Address line 2      
Address line 3      

Town/City       Postal code (if any)      

State/Province      
Country      

Phone and email Provide at least one contact number.

Home phone no.      

Mobile no.      
Primary Email      
Work phone no.      
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 a 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 Immigration and Border Protection 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*

Date of birth*   /   /      dd/mm/yyyy

Gender* Male Female

Passport no. Issue date   /   /     

(Provide if spouse     
has a passport*) Expiry date   /   /     
Country of
    
citizenship*

Will your spouse accompany you to Australia?* Yes No

4. Children details (attach a separate list if there is not enough space)

Provide details of any dependent children and indicate if they will join you in Australia.
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 Australian Government Department of Immigration and Border Protection website or by
contacting the institution where you want to study.

Not applicable      

Child 1
Family name*      
Given names*      
Date of birth*   /   /      dd/mm/yyyy
Gender* Male Female
Passport no. Issue date   /   /     
(Provide if child has a     
passport*) Expiry date   /   /     

Will this child accompany

Yes No
you to Australia?*

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4. Children details (continued)
Child 2
Family name*      
Given names*      
Date of birth*   /   /      dd/mm/yyyy

Gender* Male Female

Passport no. Issue date   /   /     

(Provide if child has a     
passport*) Expiry date   /   /     

Will this child accompany

Yes No
you to Australia?*

Child 3
Family name*      
Given names*      
Date of birth*   /   /      dd/mm/yyyy

Gender* Male Female

Passport no. Issue date   /   /     

(Provide if child has a     
passport*) Expiry date   /   /     

Will this child accompany

Yes No
you to Australia?*

Child 4
Family name*      
Given names*      
Date of birth*   /   /      dd/mm/yyyy

Gender* Male Female

Passport no. Issue date   /   /     

(Provide if child has a     
passport*) Expiry date   /   /     

Will this child accompany

Yes No
you to Australia?*

Child 5
Family name*      
Given names*      
Date of birth*   /   /      dd/mm/yyyy Gender* Male Female

Passport no. Issue date   /   /     

(Provide if child has a     
passport*) Expiry date   /   /     

Will this child accompany

Yes No
you to Australia?*

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5. Emergency contact details*
Provide details of a person who can be contacted in case of an emergency. This may be a relative or a friend.
* Denotes mandatory field

Mr Mrs Ms Miss Dr
Title*
Other (Please specify)

Family name*     

Given name*     

Gender* Male Female

Relationship to
     
you*
Home phone*       Work phone      
Mobile phone       Fax (if any)      

Email 1      

Email 2      
Address line 1      
Address line 2      
Address line 3      
Town/City      
State/Province       Postal code (if any)      
Country      
Note: Please check that the contact details are correct

6. Previous scholarships (attach a separate list if there is not enough space)

Only include details of tertiary education scholarships or fellowships.
Do not enter details if the scholarship did not lead to a formal qualification.

Have you previously been awarded a scholarship or a

Yes No
fellowship?*

1. Scholarship/fellowship title      

Start date        End date       
Qualification
      
(if applicable)

Institution        Country          

2. Scholarship/fellowship title      

Start date        End date       

Qualification
      
(if applicable)

Institution        Country          

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 7. Scholarship applications
What other scholarships are you going to apply for this year?
Note: Applying for more than one scholarship does not make you ineligible to apply for a scholarship.

Have you previously applied for a DFAT (formerly AusAID) scholarship but were
Yes No
unsuccessful?*
If ‘Yes’, in which years did you apply and were you interviewed? (approximately 100 words limit)

8. Proposed study

DFAT will consider offering you a scholarship only if your course of study will contribute to the development needs
of your country. A list of priority fields is available in the relevant country or regional profile on the DFAT website
(http://dfat.gov.au/people-to-people/australia-awards/Pages/participating-countries.aspx).

DFAT’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 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/.
* Denotes mandatory field

Preference 1
CRICOS code*      

Course title*       Institution*

Type of study (e.g.

Level of study (e.g.
Coursework,
      Bachelor, Masters,      
Research,
PhD)*
Combination)*

Institution’s minimum
English language
Course duration proficiency required for
           
(weeks)* the course (IELTS,
TOEFL or PTE
Academic)*

Proposed study (continued)

Preference 2

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 CRICOS code*      

Course title*       Institution*

Type of study (e.g.

Level of study (e.g.
Coursework,
      Bachelor, Masters,      
Research,
PhD)*
Combination)*

Institution’s minimum
English language
Course duration proficiency required for
           
(weeks)* the course (IELTS,
TOEFL or PTA
Academic)*

Research proposal details (research applicants only)

Complete this section if the studies will be by Research or a combination of Research and Coursework
(e.g. Doctorate or Masters by Research). Otherwise proceed to question 9.

Answers should be concise but sufficient to explain the nature of your research proposal to the selection panel.
Please note word limits. Anything over this limit will not be considered.
* Denotes mandatory field

Not applicable      

Research title (approximately 30 50 words limit)*

     

Objectives (approximately 150-200 words limit)*

     

Significance and possible application of your proposed research to your country’s development
(approximately 150-200 words limit)*
     

Proposed research method (approximately 150-200 words limit)*

     

Research proposal details (continued)

Does your proposed research include fieldwork?* Yes No Not sure

If `Yes’ please provide a description of the fieldwork you will be undertaking (approximately 200 words limit).

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What is the duration of your proposed       weeks

fieldwork in weeks? (if known)
Proposed supervisor/s      

Where do you propose to undertake the      

fieldwork?

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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.
* Denotes mandatory field

1. Qualification name      

Secondary (High School) Vocational/technical

Level of study
Undergraduate Postgraduate

Name of institution      

Country       State/Province      

Language of instruction      

Status Complete Pending results Incomplete

Start date   /   /      End date   /   /     

2. Qualification name      

Secondary (High School) Vocational/technical

Level of study
Undergraduate Postgraduate

Name of institution      

Country       State/Province      

Language of instruction      

Status Complete Pending results Incomplete

Start date   /   /      End date   /   /     

3. Qualification name      

Secondary (High School) Vocational/technical

Level of study
Undergraduate Postgraduate

Name of institution      

Country       State/Province      

Language of instruction      

Status Complete Pending results Incomplete

Start date   /   /      End date   /   /     

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10. English language details*

Refer to the Australia Awards Scholarships Policy Handbook, Country Profile and the institution for specific English
Language requirements.
* Denotes mandatory field

Is English your first language? Yes No

If `Yes’ go to next section. If `No’ answer the following questions:

Was English the language of your

Yes No
highest level of study?

If `Yes’, provide a statement from the institution verifying the language of instruction.

Have you taken an IELTS, TOEFL or

Yes No
PTE Academic?

If `Yes’, provide the test results.

Test name (IELTS,   /   /      Overall      

Date test
TOEFL or PTE      score
taken
Academic)
Reading Score Writing Score Listening Score Speaking Score
                     
If ‘No’, when do you
expect to complete   /   /      Test      
the test?

11. Computer literacy*

Please answer the following questions to the best of your ability. This will assist Australian institutions to decide
whether to provide additional tuition.
* Denotes mandatory field

Are you computer literate? Yes No

Monthly Daily
How regularly do you use a PC/computer?
Weekly Occasionally

Do you have experience with the following software?

Word processing software Spreadsheet software
Yes No Yes No
(e.g. Word)? (e.g. Excel)?

Database software Operating systems

Yes No Yes No
(e.g. Access)? (e.g. Windows 2000)?

Presentation software Email software

Yes No Yes No
(e.g. PowerPoint)? (e.g. Outlook)?

Internet browsers (e.g. Statistical packages (e.g.

Yes No Yes No
Internet Explorer) SPSS or Minilab)

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12. Computer training details

Course name 1      

Start date   /   /      End date   /   /     

Course name 2      

Start date   /   /      End date   /   /     

Not applicable      

13. Current employment

Current employment may include work experience and voluntary work. Please enter ‘Not Applicable’ in the
‘Position Title’ if you are not currently employed.
* Denotes mandatory field

Are you currently employed Yes No

If ‘Yes’, please provide details below

Position title*      

Organisation name*      

Organisation address      

  /   /     

Date commenced*

Sector/organisation type* Government/public NGO /civil society Private

Current duties and

responsibilities
    
(approximately 80-100 words
limit*)

Do you intend to return to this organisation after your scholarship in

Australia?* Yes No
* Denotes mandatory field

If ‘Yes’, how will this scholarship contribute to the organisation’s human resource development needs?
(approximately 80-100 words limit)*

If ‘No’, what are your plans when you finish your studies? (approximately 80-100 words limit)*

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14. 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.

1. Previous position
Position title      

Organisation name      

Organisation address      

Start date   /   /      End date   /   /     

Duties/responsibilities (approximately 80-100 words limit)

14. Previous relevant employment (continued)

2. Previous position
Position title      

Organisation name      

Organisation address      

Start date   /   /      End date   /   /     

Duties/responsibilities (approximately 80-100 words limit)

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15. Supporting statement*

Limit your answers to 2,000 characters (approximately 400 words) per question. Please note character limits.
Anything over this limit will not be considered.
*Denotes mandatory field

1. Why did you choose your proposed course and institution?*

2. How will the proposed study contribute to your career?*

3. How have you contributed to solving a challenge and to implementing change or reform?*
(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.)

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15. Supporting statement (continued)*

4. Please
a) give 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) list any possible constraints you think may prevent you from achieving these tasks.*

5. 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 Infrastructure

Education Regional stability

Environment Rural development

Food security Agriculture and fisheries

Gender equality Water & sanitation

6. Do you currently have any connection or relationship to any

staff employed at DFAT Posts or with DFAT’s managing
Yes No
contractors?*
* Denotes mandatory field

If `Yes’ please specify.

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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.

8. Have you even been convicted of an offence in any country

(including any conviction which is now removed from official
Yes No
records)*
* Denotes mandatory field

If `Yes’ please provide detail of the incident. Information provided here will not necessarily disqualify you from
being considered for a scholarship.

Limit your answers to 400 words. Attach a page if not enough room on this form.

9. Do you identify as having a disability*?

*Under Australian law, disability includes physical, intellectual, Yes No

psychiatric, sensory, neurological, learning disabilities, physical
disfigurement, and the presence in the body of disease-causing
organisms

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 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.
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.

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?

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16. Professional memberships

The associations and organisations of special interest may include community, cultural, political, scientific,
professional and/or educational.

1. Organisation Name      

Start date   /   /      End date   /   /     

Highest position held (if any)      

2. Organisation Name      

Start date   /   /      End date   /   /     

Highest position held (if any)      

3. Organisation Name      

Start date   /   /      End date   /   /     

Highest position held (if any)      

17. Communication*

Where did you first learn of the Australia Awards? (tick one box)
* Denotes mandatory field

DFAT or Managing Contractor’s

DFAT Scholarship recipient Australia Awards website
Office

Friend, relative or colleague DFAT website Home institution or university

Australia Awards Country

Alumni Association Workplace or nominating authority
website

Australian institution or Publication, radio, TV (specify

Australian Embassy
university (specify below) below)

Other     

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18. Checklist of documentary evidence

Document Document type Submitted

ALL APPLICANTS

Family book (Lao) OR Passport Proof of citizenship Yes N/A

Curriculum Vitae (Applicants must use the CV template referred to

on Australia Awards Laos Website) - Maximum of 4 pages (except CV or resume Yes N/A
Research applicants, please see below)

Public Sector/Government Official applicants

Government of Laos approval letter, dated, signed and stamped

by a representative of your personnel department or head of your
department. Employer or Nominating
Yes N/A
Authority Statement
(Applicants must use the template referred to on Australia Awards
Laos Website).

VET applicants

All official upper secondary diploma and/or tertiary education

degree(s). Degree certificate Yes N/A
Copy of the original and an English translation.

All official upper secondary diploma and/or tertiary education

transcript(s). Academic transcript Yes N/A
Copy of the original and an English translation.

For school leavers or year one/two university/college students

only, please also submit:
- all official year 10-12 upper secondary school academic
transcript(s). Academic transcript Yes N/A
- all official year 1-2 university/college academic transcript(s)
where relevant.
Copy of the original and an English translation.

Masters applicants

All official tertiary education degree(s).

Degree certificate Yes N/A
Copy of the original and an English translation.

All official tertiary education transcript(s).

Academic transcript Yes N/A
Copy of the original and an English translation.

PhD applicants

All official tertiary education degree(s).

Degree certificate Yes N/A
Copy of the original and an English translation.

All official tertiary education transcript(s).

Academic transcript Yes N/A
Copy of the original and an English translation.

IELTS Certificate of overall 6.5 with no individual band less than

6.0 Proof of English
Yes N/A
language proficiency
This certificate must be obtained after 1 July 2020

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Research applicants only (Masters and PhD)

Two referee reports from academic referees and/or professors

(national or international ones).
Referee report Yes N/A
Applicants must use the report template available on the Australia
Awards Laos website.

List of publications relevant to the research proposal List of publications Yes N/A

A detailed Research Proposal (as submitted to the supervisor in

Other document Yes N/A
Australia)

A letter from a supervisor in Australia stating his/her in-principle

Other document Yes N/A
support for the research proposal that has been provided.

Curriculum Vitae (applicants must use the CV template referred to

CV or resume Yes N/A
on Australia Awards Laos Website) - maximum of six pages.

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 19. Applicant’s authorisation, agreement, declaration and signature*
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:

a) 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.

b) 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:

 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 Award, I agree that I will:

 undergo a police or character check before my Australia Award is confirmed

 immediately provide DFAT with details of any incident that may reflect badly on the prestige of an Australia
Award
 act in a manner befitting a recipient of an Australia Award
 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 Award.

Declaration and acknowledgement

I declare, in submitting this application form, that the information contained in it and provided in connection with it is
true and correct.

I acknowledge that giving false or misleading information is a serious offence under the Criminal Code Act
1995 of the Commonwealth of Australia.
Full Name Signature Date

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