. .

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Australia Awards Scholarships Application 2022
Intake

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Additional Information Form for Indonesian Applicants

Mandatory form complementing the OASIS online application

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Before completing this form, all applicants are required to apply online at: https://oasis.dfat.gov.au
and obtain your OASIS application ID. Failed to submit this form will result to application being
incomplete and cannot be processed.

Please read the following instruction before you complete or "Start Submission" on this Online Form.

1. Read carefully the Australia Awards Scholarships Policy Handbook and Country’s (or Regional)
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profile. Both documents are available on the DFAT website and at the Australia Awards in
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Indonesia website.
2. Read carefully all information about Australia Awards Scholarship on the Australia Awards
Scholarships – Indonesia website (www.australiaawardsindonesia.org).
3. After you finish completing the form, you are advised to download this completed form for your
record.
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4. This Online Form can only be accessed with PC or Laptop. Completing the form using
Smartphone or Tablet is not recommended.
5. Complete all fields marked with an Asterix (*) including all the relevant sections.
6. Complete the OASIS and this form in English.
7. If you need to preview the question, you can download the preview form from this link
8. For assistance, email us at longtermawards@australiaawardsindonesia.org

This form and all required documents listed on page 5 must be SUBMITTED by 30 April 2021 at 21:00
WIB.

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Do not send this form to universities or other parties outside Australia Awards in Indonesia.

Australia Awards Scholarships will be offered only to those whose course of study will contribute to the
long-term development needs of Indonesia. A list of the priorities is available under “Choosing a Course of
Study” on page 2 of this application form.

The list of Australian Universities participating in the Australia Awards Scholarship is available on DFAT’s
website and Australia Awards Scholarships in Indonesia’s website. The information about Study Course is
available on the participating universities’ websites or the Commonwealth Register of Institutions and
Courses for Overseas Students (CRICOS) website.

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If you do not receive an invitation for an interview from the Australia Awards in Indonesia office by mid-
August 2021, you should assume that your application has been unsuccessful.

In cases where information supplied by candidates is found to be inaccurate or incorrect, an award

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offer may be revoked without notice.

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The closing date is 30 April 2021 at 21:00 WIB. To avoid busy online system, applicants are strongly
recommended to submit OASIS application and this form as early as possible. Please be advised that the
application system might experience significant traffic increase closer to the closing time.

General Information Notes

Australia Awards Scholarships are an important component of Australia’s investment in education. In

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Indonesia, Australia Awards Scholarships provide opportunities to study in Australia at Postgraduate
level. They are offered to Indonesian citizens to provide enhanced leadership, knowledge and technical
skills to the Government of Indonesia, to tertiary institutions and to strategic organisations that are driving
sustainable development.

Australia Awards Scholarships have been an important component of the Australian Government’s efforts
to reduce poverty and achieve sustainable development since the 1950s. This is achieved through:
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1. Developing capacity and leadership skills so that individuals can contribute to development in
Indonesia; and,
2. Building people-to-people linkages at individual, institutional and national levels between Indonesia
and Australia.
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Category

Australia Awards Scholarships in Indonesia are offered in two main categories: ‘Targeted’ and ‘Non-
targeted’.

Applicants from the Targeted category include:

1. Candidates from our Geographic Focus Areas (GFAs): Aceh, West Nusa Tenggara, East Nusa
Tenggara, Maluku, North Maluku, Papua, and West Papua.
2. Embassy partners: any candidate nominated by the Australian Embassy in Indonesia.
3. Government of Indonesia agencies: any candidate from a central, provincial or local government

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 agency excluding employees of state universities and state-owned enterprises.

Applicants from Non-Targeted include candidates from the private sector, those that work for state
university and state-owned enterprise, and everyone else.

Scholarships are for full-time study for a Master’s or Doctorate degree from Australian tertiary institutions.
The scholarship provides up to nine months full-time language and academic preparation in Indonesia.
Students must achieve satisfactory results in this training to be able to continue their scholarships.

Social inclusion

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Eligible candidates with disability or from organizations working with the disabled people are encouraged to
apply. Women and candidates within DFAT Geographic Focus Areas are also encouraged to apply.

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Supplementary programs

There is a number of supplementary programs associated with Australia Awards Scholarships in Indonesia

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including the Allison Sudradjat Prize and Hadi Soesastro Prize.

Eligibility

In general candidates must:

 be an Indonesian citizen and be residing in and applying for the scholarship from Indonesia;
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 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, mobilization processes or
while on-scholarship in Australia;
 satisfy Australian Government requirements for international student entry to Australia (health,
character etc);
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 not be applying for a visa to live in Australia;

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 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);
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 have satisfied any specific criteria established by Indonesia or government of Indonesia;

 not be current serving military personnel;
 be able to satisfy all requirements of the Department of Immigration and Border Protection (DIBP)
 for a DFAT student visa; and,
 be able to satisfy the admission requirements of the Australian university at which the Scholarship
is to be undertaken.

Specifically, candidates must:

 be applying for courses that fall within the areas of priority (see “Choosing a Course of Study”

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 below);
 have a Grade Point Average (GPA) of at least 2.9 on a scale of maximum 4.0. Exceptions exist for
applicants from GFAs and people with disabilities, they must have GPA equal to or higher than
2.75;
 for Master’s applicants, have an English language proficiency of at least 5.5 in IELTS (or 525 in
paper-based TOEFL or 69 in internet based TOEFL or 46 in PTE Academic). Exception exist for
applicants from GFA and people with disabilities, they must have IELTS score of 5.0 (or 500 in
paper-based TOEFL, 59 in internet-based TOEFL, or 38 in pearson PTE);

 for PhD applicants, have an English language proficiency of at least 6.0 in IELTS (or 550 in paper-

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based TOEFL or 79 in internet based TOEFL or 54 in PTE Academic).
 The IELTS or TOEFL or PTE Academic result must be current (a test result obtained in April 30,
2019 until April 30, 2021 will be considered current). No other English language test (including

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TOEFL prediction test) results will be accepted;
 already hold an undergraduate degree, if applying for a Master’s;

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 already have a Master’s, if applying for a Doctorate;
 if applying for a Doctorate, applicants will be restricted to staff of universities, higher education
institutions, research institutes, key policy makers and targeted candidates in other agencies
associated with Australian Government activities;
 it is highly desirable for Doctorate applicants to have a letter of support from an Australian
university for their proposed field of study, and for PhD applicants to have completed a Master’s
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with a minimum 25% research component;
 answer all relevant questions on the application form; and,
 be willing and available to undertake full-time (Monday-Friday 08:00-16:00) Pre-Departure Training
(PDT) in Indonesia prior to studying in Australia, if offered a scholarship.

Choosing a Course of Study

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Candidates must apply to study courses which fall within the following priority academic areas. An
indicative list of the areas for study follows. This list is subject to continuous review through the six-monthly
Program Coordination Committee process.

Australia Awards prioritises scholars seeking to undertake studies in support of the COVID-19
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Development Response Plan priority areas, namely Health Security, Stability and Economic Recovery. A
full list of priority fields is provided below.

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Candidates considering study for particular professions should note that Australia Awards Scholarships
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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.

Selection Process

Selection will be based on the principles of merit and equity and will be carried out jointly on behalf of the
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Australian and Indonesian Governments by an independent team of Indonesian officials and academics
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working in partnership with Australian academics to evaluate and rank candidates. The team members will
all hold Doctoral degrees obtained in Australia or be Doctoral graduates with long-term experience in the
Australian university system. The process aims to identify candidates most likely to succeed in academic
studies in an Australian course who will then make a substantial contribution in Indonesia.

The process will be transparent, and the eligibility and selection criteria made are available to interested
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parties. The final list of recipients is subject to scrutiny and endorsement by DFAT and Government of
Indonesia – Ministry of State Secretariat.

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 Scholarships. The
result is final, and no correspondence will be entered into. Where appropriate, notification will include
details of pre-departure training (English, academic skills, cultural preparation). This training is compulsory
and full-time (see page 6 for step by step of Australia Awards Scholarships Application Process).

Pre-Departure Training (PDT) in-Indonesia

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DFAT will provide all scholarship recipients with PDT in Indonesia. The aim of PDT is to prepare students
for study in Australia.

 The length of PDT will range from 5 weeks to 9 months depending on the level of English language
proficiency of the student. PDT training is conducted in Bali.
 PDT is compulsory and full-time for all Australia Awards Scholarships recipients.
 DFAT will provide recipients with a monthly living allowance while they attend PDT.
 DFAT will not provide additional PDT in Australia.
 Recipients who withdraw from Australia Awards Scholarships after commencing PDT, are required

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to refund the stipend paid to the recipient from the commencement of PDT. Circumstances for
withdrawal will be reviewed on a case by case basis.

Requirements for Scholarship Recipients

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Prior to travelling to Australia, scholarship recipients must:

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 meet the minimum English language requirement of their chosen Australian university (usually
IELTS of 6.5 with no band less than 6.0);
 at the completion of PDT, achieve a minimum score of IELTS 6.5 (with no band less than 6.0) for
Australia Awards Scholarships office to commence the application process for placement in a
university program in Australia;
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 receive a letter of acceptance from an Australian university;
 meet Australian immigration requirements for a student visa;
 receive Government of Indonesia endorsement; and,
 be medically fit to commence studies in Australia.
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In Australia, scholarship recipients must:

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 abide by the conditions of the scholarship and the rules of Australian tertiary institutions;
 abide by the rules and regulations governing a student visa; and,
 act in a way that will not bring disrepute to DFAT, or to any Australian university or to Indonesia.
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In addition, scholarship recipients must

 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;
 return to Indonesia 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,
 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.

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What do Australia Awards Scholarships cover?

 Pre Departure Training (PDT) – including provision of English for Academic Purposes training
prior to commencement of studies in Australia;
 Domestic Return Airfare from the airport closest to the recipient’s home location to the airport
closest to Pre-departure Training centre in Indonesia;
 In-Indonesia PDT Stipend for the period of PDT;
 Medical examination and x-ray costs in order to comply with Student Visa requirements;
 DFAT Student Visa and Student Dependent Visa;

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 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;
 Overseas Student Health Cover (OSHC) - recipient only (recipients are required to maintain

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OSHC for any accompanying family in order to satisfy visa requirements);
 Establishment Allowance payable into the recipient’s bank account after arrival in Australia;

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 Contribution to Living Expenses (in Australia Stipend) - payment of a fortnightly contribution to
living expenses (CLE);
 Introductory Academic Program (IAP) for a period of 4-6 weeks undertaken prior to the
commencement of Master’s or PhD studies;
 Master’s or PhD Tuition Fees – including all compulsory fees for the course in which the recipient
is accepted into;
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 Supplementary Academic Support - provided where it is deemed essential to assist recipients to
pass course subjects;
 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;
 Reunion Airfare - is available to a ‘single’ recipient after the successful completion of the first year
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of study; subsequent reunion airfare entitlements will be available on an annual basis for the
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duration of the Australia Awards Scholarships, except for the final year of the Australia Awards
Scholarships; and,
 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.
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Family Entry

Recipients may 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

 Australia Awards: http://australiaawards.gov.au/

 Australia Awards Scholarship Indonesia: http://www.australiaawardsindonesia.org
 DFAT: http://dfat.gov.au/pages/default.aspx

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  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
 TOEFL: http://www.ets.org/toefl
 PEARSON: http://www.pearsonpte.com

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The Australia Awards Scholarships Application Process

Step 1

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Applicant completes Australia Awards Scholarships application through https://oasis.dfat.gov.au/ and
this form by 30 April 2021 at 21:00 WIB.

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Step 2

Applicant is notified of the result of selection for interview by -XQH021.

Step 3
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Applicant selected for interview receives information of interview/IELTS test date/location.

Step 4

Applicant attends interview and IELTS test in July 2021.

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Step 5
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Applicant is advised of the result of their Australia Awards Scholarships application by August 2021
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Personal details
Details given in this question 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

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OASIS ID

Fill with your ID from OASIS

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Title First Name Last Name

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Gender

Date of birth Place of birth

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Country of citizenship Citizenship ID (KTP)

Note: You must be a citizen of one of the eligible

participating countries.
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Address line as your ID Card (KTP)

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Note: write until sub-district.

District (KTP) Province
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Personal Email Mobile Phone

Alternate Email Alternate Mobile Phone

Scholarships Category
Are you applying for an Australia Awards Scholarships as a public or open applicant?
 Public  Open

If “PUBLIC”, please indicate if your application is from:

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 Government department  State-owned enterprise  State university

If “OPEN”, please indicate if your application is from:

 Private university  Private organisation  Private individual

Proposed study
 Masters  Doctorate (PhD)

Type of study
 Coursework  Research  Combination

Research background of Doctorate (PhD) candidates only:

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Do you hold a Masters degree with > 50% weighting for research?
 YES  NO

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Are you enclosing a letter from your Masters supervisor recommending that you should pursue
Doctorate studies?
 YES  NO

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Proposed field of study
You are required to:

o Identify the Priority Development Area (PDA) for your proposed studies. (Please tick one
box only).
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o Identify the Priority Field of Study (PFS) from the list of preferred PFS provided (Please tick
one box only).
o If necessary, you may nominate another Field of Study in 'other' (Please fill in "other" and
provide details).
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Priority Development Areas (PDA)

 Health Security  Stability  Economic Recovery

Health Security
 Communicable Disease Prevention  Health Management
 Health Services  Maternal and Child Health
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 Public Health  Education and Training

 Education Management  Human Resource Development
 Development Studies  International Studies
 NONE

Stability
 Law, legal and judicial systems  Political Science and Government
 Public administration  Public expenditure management
 Public Sector Reform  Environmental Law

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 Anti-corruption  Decentralisation
 Monitoring and Evaluation  Transnational Crime Prevention
 Conflict Resolution  Women and Gender Studies
 Disability Services  Disaster Prevention and Management
 Cyber Security  NONE

Economic Recovery
 Trade  Small and medium enterprise development
 Economics  Infrastructure Planning

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 Transport Safety  Water and Sanitation
 Mining  Livestock management
 Animal Husbandry  Agriculture

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 Aquaculture/fisheries  Forestry
 Natural Resource Management  Climate Change

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 Rural Growth  NONE

Other, please specify

Please describe the efforts you have undertaken so far to obtain information on your study options
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in Australia.
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A formal offer of admission will not be required however it is expected serious PhD candidates will
have made preliminary inquiries to preferred Australian universities regarding their study.
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Have you discussed your proposed course with a member of staff from any Australian University
 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.

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Note that Australia Awards Scholarships do 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.

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Applicant Qualifications
List of qualifications (whether complete or not) by level of study.

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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

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translations must be included

Your Latest Level of study

 Postgraduate (S3)  Postgraduate (S2)  Undergraduate (S1)  Diploma IV

Postgraduate S3
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Level of study Status of your study
Postgraduate (S3)  Complete  Pending Result  Incomplete

Qualification Name
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e,g Doctor of Philosophy

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Name of institution

State/Province Country
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Language of instruction

Obtained GPA Max GPA

Education Start date Education End date

Postgraduate S2

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Level of study Status of your study
Postgraduate (S2)  Complete  Pending Result  Incomplete

Qualification Name

e,g Master of Science

Name of institution

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State/Province Country

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Language of instruction

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Obtained GPA Max GPA

Education Start date Education End date

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Undergraduate S1
Level of study Status of your study
Undergraduate (S1)  Complete  Pending Result  Incomplete

Qualification Name
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e,g Bachelor of Engineering

Name of institution
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State/Province Country

Language of instruction

GPA Max GPA

Education Start date Education End date

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Did you completed a Diploma III before doing
your Diploma IV?
 Yes  No

Diploma III
Level of study Status of your study
Diploma III (D3)  Complete  Pending Result  Incomplete

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Qualification Name

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Name of institution

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State/Province Country

Language of instruction
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GPA Max GPA

Education Start date Education End date

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Applicant Working Experience

Current Working Experience

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Organisation/ Institution Categories

Organisation/Institution name

Position

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Start Date

Address line

District Province

Business Phone

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Supporting statement

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DFAT strongly encourages applications from people with disability who are otherwise eligible for a
scholarship.

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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
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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
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recommended.
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Do you identify as having a disability ?

 YES  NO
Under Australian law, disability includes physical, intellectual, psychiatric, sensory, neurological, learning
disabilities, physical disfigurement, and the presence in the body of disease-causing organisms
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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?

You can use the questions below to guide you :

 Hearing and Speaking - to communicate with others do you require or use any specific assistance?
(For example, hearing aids, sign language interpreter, lip reading, other communication assistive
device or additional time.)
 Writing and Reading - to access information and communicate using written materials do you
require or use any specific assistance? (For example, large print, Braille, computer software (e.g.
Jaws), lap top/computer, someone to transcribe for you, or additional time.)
 If you use an assistive device, please tell us what kind of device it is and/or if you have ever used a

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 different type of device.
 Do you require any specific changes or adaptations to move around?

Write your answer below :

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Where did you first learn of the Australia Awards Scholarship (AAS)?
 AAS recipients  Friends, relatives or colleagues  Workplace or nominating
authority

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 University or Educational  Scholarship promotional events  Australia Awards website
institution (http://australiaawards.gov.au)
 Australia Awards in Indonesia  Scholarship promotional website  Australian Embassy social
website or mailing list media
(www.australiaawardsindonesia.or
g)
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

Preffered interview location :

 Banda Aceh  Jakarta  Yogyakarta
 Makassar  Kupang  Mataram
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 Ambon  Surabaya
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Documentary evidence
Please note: You are responsible for providing all supporting documents. If you do not provide all
required documents your application will be rejected.
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 Only file on "PDF" and"image" ( JPEG or JPG or PNG or BMP) format acepted by system
 Maximum file can upload is 2 MB
 Use Filename Format as "Your full name_NAME OF THE DOCUMENT". example below
o Full Name_BIRTH CERTIFICATE
o Full Name_PROOF CITIZENSHIP
o Full Name_CV
o Full Name_TRANSCRIPTS
o Full Name_ACADEMIC CERTIFICATE

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  File or Documents without "Your full name" in the filename may be successfully uploaded, but
COULD NOT be read and saved in our system and your application become ineligible.
 The application form should have certified* copies attached of the relevant documents listed
below.
 Where original documents are not in English, you must provide certified* copies of official English
translations if you are SELECTED for an interview.

*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, an Australian overseas diplomatic mission.

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Certification by a Notary Public may also be accepted. For further details on document certification,
please refer to the Scholarships Policy Handbook.

Required Documents

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Copies of birth certificate or equivalent

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Use Filename Format as "Your full name_NAME OF DOCUMENT"
Proof citizenship (KTP)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Current Curriculum Vitae (CV)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Postgraduate (S2) Certificate
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Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Postgraduate (S2) Transcript
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Undergraduate (S1)/Diploma IV Certificate
Use Filename Format as "Your full name_NAME OF DOCUMENT"
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Certified Undergraduate (S1)/Diploma IV Transcript

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Use Filename Format as "Your full name_NAME OF DOCUMENT"

DIII Degree Certificate
Mandatory for Masters applicants with latest education D IV. Use Filename Format as "Your full
name_NAME OF DOCUMENT"
D III Transcripts of result
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Mandatory for Masters applicants with latest education D IV. Use Filename Format as "Your full
name_NAME OF DOCUMENT"
Current (original) IELTS or TOEFL English language test results
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Academic reference from S2 supervisor for Doctorate candidates
Mandatory for Doctorate Applicants. Use Filename Format as "Your full name_NAME OF DOCUMENT"
Nominating Agency Declaration - required for Public sector applicants only
Mandatory for Public sector applicants.Use Filename Format as "Your full name_NAME OF DOCUMENT"
Please Download Nominating Agency Declaration template

Additional Documents: (Optional)

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Official (certified*) English translations of birth certificate (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Other Proof Citizenship (Passport)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Official (certified) English translations of post-secondary and tertiary certificates/degrees
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Official (certified) English translations of post-secondary and tertiary transcripts of results
Use Filename Format as "Your full name_NAME OF DOCUMENT"
references from S1 supervisor for Masters candidates (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"

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list of relevant publications, unpublished theses (for research applicants)
Use Filename Format as "Your full name_NAME OF DOCUMENT"

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Relevant correspondence with an Australian university (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Others Document's

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Use Filename Format as "Your full name_NAME OF DOCUMENT"
APPLICANT’S AUTHORISATION, AGREEMENT, AND DECLARATION
Authorisation

DFAT must comply with the Privacy Act 1988 in relation to the personal information you have provided in
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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:
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 for use in the selection process for an Australia Award.

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 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. Should I receive an
Australia Award, I consent:
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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 dependents, 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
3. 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

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 time.
4. 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

M
 DFAT has the right to vary or reverse any decision regarding a scholarship made on the basis of
incorrect or incomplete information

R
 Decisions of the selection panel are final and confidential and no correspondence about outcomes
of the selection process will be entered into.

FO
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
EW
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.
I
EV

Declaration and acknowledgement

Full Name
PR

Declaration
 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.

Acknowledge
 I acknowledge that giving false or misleading information is a serious offence under the Criminal Code
Act 1995 of the Commonwealth of Australia.

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